Download THE PATIENT AT THE HEART OF EVERYTHING WE DO CENTRE

THE PATIENT
AT THE HEART OF EVERYTHING WE DO
CENTRE HOSPITALIER DE L’UNIVERSITÉ DE MONTRÉAL
2009–2010 Annual Report
Marie-Josée Dubeau is one of the many patients who want to give back, in the form of
volunteering, what they have gained in quality of life. Unable to walk after an automobile
accident, the CHUM gave her back the use of her legs. For the past ten years, she has
volunteered anywhere she is needed. She has become an expert in simulating symptoms for
first and second year medical students. She loves playing the role of someone with high blood
pressure, or simulating respiratory problems or major depression: "I feel like I'm acting in a play,
I talk with specialists and I feel very useful."
William Christopher Price – Throughout their lifetimes, people living with HIV must take many
drugs that sometimes have severe side effects. Some people forget to take their medication or
believe that missing a dose, just once, will have no consequences. A new Web application,
called VIH-TAVIE, was designed to support these people and to suggest strategies. William
Christopher Price, a patient who frequents the hospital’s AIDS research, teaching and care unit
(UHRESS), lends a hand. He and other patients participating in this research project are
amazed by the benefits that they are getting out of it, including the feeling of being better able to
deal with their situation. Research coordinator: Geneviève Rouleau, nurse.
André Robinson was getting older and was requiring more and more specialized care. Young
at heart in his seventies, he had been suffering continually from hip pain for years. Cared for at
the CHUM orthopaedic unit, he walked out of the hospital five days after a hip arthroplasty.
Thanks to physiotherapy, little by little he is returning to the activities that he had been forced to
give up: swimming, walking and dancing. His limitations are fading away and he is more active
than ever. "I was supported by the entire staff and my wife has been by my side since the pain
began. That support is key." About 150 hip arthroplasties are performed at the CHUM every
year. Orthopaedic surgeon: Dr. Luc Pilon.
Claude Couvrette learned that he had cancer. Even though the nodule in his right lung was
small, normal surgery would have been complicated because of the presence of numerous
blood vessels. He was therefore treated with the CyberKnifeTM, a new rapid and painless
technology, which, in his case, required four treatments of one hour each. The CHUM, which
acquired this robotic nuclear accelerator in 2009, is the only hospital in Canada to have one,
which is why the treatment is only offered to patients whose cases are appropriate for its use.
The system, which uses stereotactic radiotherapy to administer high doses of radiation in a few
sessions, replaces conventional radiotherapy that may be spaced out over several weeks.
Claude Couvrette was delighted to be able to benefit from this scientific advance that enabled
him to see one of the best sides of medicine.
Marie-Josée Fournier – An active young mother of four children, careful about her health,
Marie-Josée Fournier has had to have a defibrillator since she was diagnosed with a malignant
form of cardiac arrhythmia. Her peace of mind was shattered, and she had to overcome her fear
of her heart’s wild palpitations. A long period of adaptation was necessary. But Marie-Josée
Fournier is a fighter: she asked questions, got involved in her own care, and began to put into
words and actions what she was learning day by day. She is often asked to give talks about her
experience, and she founded the Defib-Ami organization to support people who live with a
defibrillator.
TABLE OF CONTENTS
MESSAGE FROM THE CHAIR OF THE BOARD OF DIRECTORS AND THE DIRECTOR GENERAL
4
ATTESTATION OF RELIABILITY
5
MAJOR EVENTS AND ACTIVITIES
6
OUR MISSIONS
Care
Teaching
Research
Health Promotion
Assessment of Healthcare technologies and Intervention methods
8
9
10
14
16
OUR DEPARTMENTS
Anaesthesiology
Perinatality
Surgery
Medicine
Preventive Medicine and Public Health
Emergency medicine
Radio-Oncology
Biochemistry
Stomatology
Endocrinology
Palliative care
17
18
19
20
22
24
25
26
29
31
32
34
OUR HOSPITAL
The new CHUM
Our presence in the media
An international reputation
Our professionals: our strength
36
37
39
42
44
OUR PARTNERS
The Fondation du CHUM
The Integrated University Health Network of the Université de Montréal
The Faculty of Medicine of the Université de Montréal
46
47
61
62
OUR FINANCIAL STATEMENTS
Auditor’s Report
Statistics
Financial data (See document entitled Financial Data)
64
66
68
BOARD OF DIRECTORS, DIRECTORS AND COMMITTEES
71
CODE OF ETHICS GOVERNING THE BOARD OF DIRECTORS
75
* All the CHUM’s departments were asked to provide a summary of their activities. This chapter is the report of those
who responded to our request.
MESSAGE FROM THE CHAIR OF THE BOARD OF DIRECTORS
AND THE DIRECTOR GENERAL
Patients are at the heart of everything we do. Above and beyond the words, this maxim
guides each physician, nurse, healthcare professional and worker at the Centre
hospitalier de l’Université de Montréal (CHUM) every day.
Because patients are the focus of our work, they are key to this 2009–2010 annual report, which
sums up our activities over the past year. In these pages, you will read the stories of people who
have battled disease and who have bounced back, better than ever, both through their own
strength and the support of their loved ones, and the know-how of our care and research teams.
The document you hold in your hands is the result of teamwork: each department and each
service was asked to contribute by presenting their major accomplishments. The content of this
annual report is thus the sum of the most outstanding events experienced by our teams in
2009–2010. We wish to thank them for their contribution.
This year was one of transition, but also one of unforeseen challenges. At the beginning of the
year, and, in fact, throughout it, the threat of influenza A (H1N1) mobilized all of our teams. A
record rate of vaccination among staff, the implementation of a pandemic action plan, rapid
adaptation of the emergency departments to prevent cases of contamination—all are proof that
our teams were able to successfully meet major challenges, ensuring the safety of patients,
their loved ones and our staff.
In addition, during the same period, all the employees of CHUM were mobilized for the visit of
Accreditation Canada, because the organization now requests that everyone participate. Each
health professional, manager, employee, volunteer, etc., must meet the standards of excellence
of a university hospital centre. And of course, it is all for the benefit of our patients!
The year 2009–2010 ended as dramatically as it started, but on a much more positive note, with
the launch of construction of our research centre and our integrated teaching and training
centre, taking us past the first stages of the CHUM modernization project and into anticipating
the next stages with optimism and impatience.
And finally, because the CHUM is much more than a construction project, because it is a
university hospital centre bursting with vitality, we now invite you to leaf through the following
pages. They provide an account of the discoveries made by the CHUM’s teams, the projects
that have mobilized the care teams, and the passion that drives each member of our community
to ensure that patients are always at the heart of everything we do.
Me Patrick A. Molinari
Chair of the Board of Directors
Christian Paire
Director General
ATTESTATION OF RELIABILITY
The reliability of the information included in the annual management and activities report of the
Centre hospitalier de l’Université de Montréal falls within my responsibility. The results and data
for the financial year 2009–2010 faithfully describe the institution’s mission, mandates, values
and strategic orientations. It presents the indicators used, targets established and results
obtained. I attest that the information it contains is reliable, that is to say, objective, exempt from
errors and verifiable, as are the related controls, and that it accurately reflects the situation for
the financial year ended March 31, 2010.
Christian Paire
Director General
MAJOR EVENTS AND ACTIVITIES
Many events and activities marked our different teams in 2009-2010, with some of them
requiring the mobilization of the CHUM as a whole.
INFLUENZA A (H1N1): THE CHUM MOBILIZES
The end of April 2009: the World Health Organization (WHO) announced the emergence of a
new virus in a Mexican community and recommended that all countries exercise vigilance. The
appearance of new cases in other countries rapidly led the WHO to raise its alert level to phase
five, signifying an imminent pandemic.
The Ministère de la Santé et des Services sociaux (MSSS) deployed its influenza pandemic
plan province-wide. The plan defined the measures and actions to be taken to limit propagation
of the virus.
The regional health and social service agencies and all of the institutions comprising them,
including the CHUM, immediately began establishing guidelines concerning screening and
management of patients suspected of being infected with the virus. Posters were prepared for
the staff and the public, a strategic management committee was created to coordinate the
actions to be taken in the eventuality of a declared pandemic, the CHUM updated its pandemic
action plan and some targeted groups took a specific training course put on line by the MSSS.
Everyone was reminded of simple hygienic measures, such as hand washing and coughing or
sneezing into the elbow or shoulder instead of into one's hands.
An internal vaccination campaign was organized. Everyone, without exception, was encouraged
to get vaccinated. Managers publicly set the example. Nurses made the rounds of the
departments to make it easier for staff members to receive their vaccinations. The result was
that over 80% of staff was vaccinated, a record, because during regular campaigns, the
vaccination rate is about 50%. In the emergency wards, the stakes were high: ensuring that the
some 400 potentially infected patients who passed through our doors every day did not come in
contact with other patients. Thanks to the cooperation of all the professionals, the challenge was
met successfully. More details can be found in the Emergency Medicine section of this report.
ACCREDITATION: EVERYONE’S PARTICIPATION IN A RIGOROUS EXERCISE
In 2010, Accreditation Canada completely overhauled its process with its Qmentum (a
contraction of quality and momentum) program. The organization no longer only targets a
hundred or so people who have had time to prepare in advance, but asks for the participation of
everyone: physicians, employees, managers, volunteers, members of the Board of Directors,
etc. Thus, people who are not subject to clinical standards, such as office employees, must
respond to two obligatory surveys on work life quality and the culture of safety of care and
services.
From mid-September to mid-October 2009, the majority of the CHUM's employees filled out the
obligatory and specific surveys, put on line on the Accreditation Canada portal. The new
aspects were explained to everyone and many information tools were available for employees
to consult. Accreditation Canada defines 21 standards of excellence for university hospitals,
23 priority processes for the organization to be recognized as effective and efficient, the
required organizational practices to ensure the safety of care, and eight dimensions respecting
the quality of care. The results, released at the beginning of November, determine the
development of action plans to improve the weakest points, during the visit of Accreditation
Canada, in April 2010. However, continuous improvement must be maintained between visits.
The results of the process will be published in the next annual report.
THE NEW CHUM: BREAKING GROUND
On March 25, 2010, the CHUM reached a turning point in its history. Québec's Premier,
Jean Charest, accompanied by the Chair of the Treasury Board and the Minister responsible for
Public Administration, Monique Gagnon-Tremblay, and the Minister of Health and Social
Services, Yves Bolduc, officially launched the construction work on the CHUM's research centre
(CRCHUM), the first step of this major modernization project. The CHUM will have a state-ofthe-art facility, equipped with a state-of-the-art technological infrastructure that will benefit both
researchers and patients. The research centre will not only strengthen Montréal's position as a
life sciences hub, but will also contribute to its economic vitality and international reputation.
The construction crews first cleared out the interior of the Viger Street building, and then
proceeded with its complete demolition. Over the summer, heavy machinery assaulted the block
delimited by Viger, Saint Denis and Saint-Antoine, and the Ville-Marie highway access ramp.
OUR MISSIONS
CARE
MORE THAN EVER, THE PATIENT IS AT THE HEART OF EVERYTHING WE DO
As a university hospital institution of international calibre, the CHUM provides general
healthcare to the clientele situated within its immediate geographic area, but also and
above all, specialized and ultra-specialized services to a regional and supraregional
clientele. Every year, it cares for some 345,000 patients in ambulatory care, 22,000 who
are hospitalized, and 65,000 in the emergency departments.
FRONTLINE ULTRA-SPECIALIZED SERVICES
The CHUM has made a name for itself in cardiovascular and metabolic medicine, neurosciences,
transplantation of solid organs, oncology, addiction medicine and reconstructive plastic surgery,
which includes replantation and the care of major burn victims. It is the only institution in Québec
to perform lung transplants and is a referral centre for limb replantation. During the 2009–2010
financial year, 93 kidney transplants, 56 liver transplants, 31 lung transplants, 6 kidney-pancreas
transplants and 1 kidney-liver transplant were performed at the CHUM.
THE ORGANIZATION OF SERVICES INSPIRED BY BEST PRACTICES
The CHUM takes inspiration from the best practices documented throughout the world in
matters of care and organization of services in order to fulfill its role as a model for other health
institutions. At the cutting-edge of technology and ready to meet the many challenges of the
coming decades, the CHUM contributes to the promotion of health, in continuity with primary
care services.
Patients’ care is managed by patient-centred groups made up of interdisciplinary teams of
professionals. The organization of care thus defined ensures that continuity and integration of
care and services to patients are optimized, as is communication among physicians,
professionals, support staff and managers. It also encourages professional cooperation and the
integration of practices. It enables those involved to assume responsibilities and decentralizes
decision-making and resources.
THE CARE PROVIDED AT THE CHUM CAN BE SUMMED UP BY THE FOLLOWING
PRINCIPLES:
Care adapted to patients’ needs;
Integrated management throughout treatment;
Results-based research;
Interdisciplinary work practices;
Decentralized decision-making;
Continuity of care and services.
TEACHING
TRAINING EXPERTS FOR THE BENEFIT OF OUR PATIENTS
The Teaching Division works closely with a number of other divisions and services, as
well as with the educators in place, to support the various teams, because teaching is an
integral part of the career path expected of everyone in the medical corps.
The Division integrates and provides for a range of activities, such as the initial training of health
professionals, continuous education, the professional development of physicians and all of the
human resources of the CHUM and its partners in the health network, as well as the education
of patients. A number of accomplishments and events marked the year 2009–2010.
 The Division’s recognition award highlighting the commitment of the teams that teach
nursing—three awards, one per hospital—presented on Nurses Day.
 Publication and distribution of the Guide d’accueil et de référence du stagiaire, an
introductory and referral guide, to all trainees at the CHUM.
 Reception of approximately 70 high school and college-level students in the scope of two
projects (Jeunes explorateurs d’un jour and Classe Affaire), to introduce them to the various
health professions. These young people were twinned with professionals in a dozen clinical
sectors of the CHUM for a day of observation.
 Website development project slated to begin in the fall of 2010.
 The contribution of the integrated university health network (RUIS) of the Université de
Montréal to set up a teletraining project and multidisciplinary clinical support.
STIMULATING PRACTICUMS
The CHUM also has the responsibility of providing students with practicum environments in
which they can progress from theory to practice and put their knowledge to use. In conjunction
with the physicians who have a teaching load, the Teaching Division contributes in the training
of almost half the medical students at the Université de Montréal, both general practitioners and
specialists.
In total, the CHUM receives more than 5000 university, college and vocational students and
trainees who will go on to make their careers in nursing sciences, medicine, and all the other
health-related fields. It also keeps records of all of the trainees.
SUMMARY OF TEACHING ACTIVITIES
NUMBER OF PRACTICUMS AND EQFT (EFT)
No. practicums
EQFT
MEDICAL PRACTICUMS1
University
Medicine—Clerkship
Medicine—Residency
1.679
5.070
129.15
390.00
Total
6.749
519.15
No. practicum days
EQFT 247 days
PRACTICUM DAYS
University
Preclinical Medicine
6.105
Medicine—Continuing Education and Observation/
CMQ evaluation
1.695
Nursing
6.680
Health professionals
15.826
24,72
6.86
27.04
64.07
(other than physicians and nurses)
Sub-total
30.306
122.70
CEGEP and High School
Nursing
Health professionals
23.999
9.935
97.16
40.22
Sub-total
33.934
137.38
Total
64.240
260.08
(other than physicians and nurses)
1
For the purpose of this report, a practicum period lasts four weeks, for 13 periods annually.
Source: Teaching Division
RESEARCH
MAJOR SUPPORT FOR CARING AND HEALING
The results of research activities enable the development of new diagnostic, therapeutic,
predictive, curative or preventive tools, for the good of our patients and the general public.
The CHUM research centre (CRCHUM) is a leader in health research in Canada. It brings
together almost 350 researchers. Its basic and clinical research funds amount to almost
60 million dollars per year. Among the some 1200 people who make their careers there, over
400 are preparing a master’s dissertation, a doctoral thesis, or are in postdoctoral training.
Our researchers publish hundreds of scientific articles and participate every year in dozens of
national and international conferences and symposia, thus contributing to the progress of
knowledge and the efforts of the international scientific community.
A YEAR RICH IN ACTIVITIES, EVENTS AND NOTABLE MEDICAL BREAKTHROUGHS
 Launch of construction work on the new CRCHUM.
 Inauguration of a clinical trial unit at the Jeanne-Mance pavilion.
 Under the direction of Dr. Pavel Hamet, inauguration at the CRCHUM of the largest cohort
of the CARTa-GÈNE project, a vast public survey on health determinants (lifestyle, genetics,
environment, nutrition) in Québec.
 Appointment of Dr. François Lespérance to the position of Assistant Scientific Director,
clinical research.
 Recognition of the abbreviation “CRCHUM” by the Canadian Intellectual Property Office, as
the official trademark of the research centre.
 Dr. Jean-Pierre Pelletier and Johanne Martel-Pelletier receive the 2010 King Faisal
International Prize, in the Medicine category, for the quality and excellence of their work in
the field of osteoarthritis.
 Development, by the team of Dr. Gilles Soulez, of a powerful software package that can
decode 3-D images of abdominal aortic aneurysms (AAA) with surgical precision.
 Significant breakthrough in the use of stem cells (doctors Samer Mansour and Nicolas
Noiseux).
 Worldwide marketing of the KneeKG, a device developed by Jacques de Guise for 3-D
real-time analysis of the biomechanical function of the knee in motion and while bearing a
load, which is not possible under X-ray or MRI.
 Launch of the Accord project (Manon Choinière), a unique research program on chronic pain.
 Development (Dr. Parviz Ghadirian) of a new classification of food products that enable
more precision in the evaluation of the risk of contracting cancer.
MAJOR INFRASTRUCTURE SUBSIDIES (CFI):
 Bringing together basic, clinical and public health research to prevent and treat diabetes,
metabolic syndrome and their complications.
Mark Prentki, Director
$15.6 M
 Innovations in cardiovascular imaging and image-guided therapies to improve patient
management.
Gilles Soulez, Director
$10 M
 Platform of innovative research in musculoskeletal health engineering.
Jacques de Guise, Co-director
$1.4 M
 Nine CFI Leaders projects. Shao-Ling Zhang, Moishe Liberman, Anne-Marie Mes-Masson,
Yves Berthiaume, Cécile Tremblay, Éric Troncy, Mohit Kapoor, Marie-Josée Hébert,
Jacques de Guise
$6.1 M
TOTAL
$33.2 M
RESEARCH THEMES
Cancer
Cardiometabolic
Infection, immunity, inflammation
Musculoskeletal diseases
Neurosciences
Risks to health
Global health
Healthcare systems and services
The eight research centre themes were established according to the clinical activities carried out
at the CHUM. More information on the fields of the researchers for each of the themes can be
found at www.chumontreal.com, Research Centre, Research Themes.
HEALTH PROMOTION
HUMAN BEINGS IN THEIR UNIVERSALITY
Innovative projects took the limelight in 2009–2010, thanks to the creativity of members
in the Health Promotion Division.
HEALTH EDUCATION
The goal of therapeutic education is to help patients take charge of their own care. It is thus part
of a continuum of activities that goes from providing clear information to patients about their
examinations, care and treatment, to their development of skills to take care of themselves. In
the scope of its mandate, therapeutic education is the focus of the Health Promotion Division’s
activities. Health education primarily targets the acquisition of knowledge and skills by the
patient, going beyond the reason for the person’s stay at the hospital. For example, it could
include encouraging a patient to quit smoking during the pre-surgery evaluation.
In 2009–2010, the Health Promotion Division began setting up an information and education
program on our patients’ health, in cooperation with the Patient-Centred Groups Division, the
Nursing Care Division, the Communications Division and the Teaching Division. The program
reflects our commitment to become a health promoter through health promotion activities with
our patients and their loved ones. These activities consist of providing the information that
enables them to understand their state of health and to take account of their needs.
The program is built around an intranet portal (under development), consisting of information
pages for patients. A number of pages have been produced, in collaboration with clinicians from
various sectors, and supported by a team of professionals that includes writers, graphic artists
and evaluative research specialists. The pages deal with subjects such as screening,
prevention, pathologies and their treatment. Such sources of information enable our patients to
better understand their disease and the factors affecting it, increasing their ability to become
involved in managing their own health.
HEALTH PROMOTION
The goal of health promotion is to increase the control of individuals and communities over their
own health. In large part inspired by the 1986 Ottawa Charter, the CHUM uses a number of
strategies to promote health, providing individuals and communities with more means for them
to progress toward better physical and mental health, while taking the social environment into
account. We hope to see an evolution in the concept of health, with it becoming not simply the
absence of disease, but an overall state of well-being, integrating both the physical capacity of
individuals and personal and social resources.
Health promotion is not restricted to recommending the adoption of lifestyles favouring good
health and the absence of disease. Because it targets the overall well-being of the individual
and her community, it is a product of close cooperation between the health and social services
network and the community.
THE HEALTHY WEIGHT MANAGEMENT PROGRAM
This program, which began in February 2010, was developed in partnership with a nutritionist
from the Radio-Oncology Service and was addressed to the employees of our three institutions.
Forty-six participants took part in a holistic approach to adopt healthy lifestyles and healthy
weight management, with the accent on stability and well-being. A series of 12 weekly group
meetings, accompanied by personalized exploration, helped participants become more
conscious of the notions of tasting, moving, accepting and being, as well as understanding their
own role in reaching a stable weight and in their path toward physical and mental health. With
reflection, presentations and workshops, the participants are able to take a look at their own
situations so as to find better solutions and to take action.
THE BIRTHING CENTRE
At the CHUM birthing centre, the implementation of the activities of the centre of excellence in
health promotion continues. An interdisciplinary health promotion committee, set up in January
2010, meets monthly to establish action priorities and to contribute to developing
communication materials. With respect to the latter, three communication channels are being
set up: a television screen in the waiting room, the website, and brochures, which will soon be
available on the intranet portal. These measures will increase the access of clientele and their
loved ones to information. All the actions taken are based, in part, on the results of the various
studies carried out with the clientele between 2009 and 2010 (portrait and needs).
Health promotion activities for employees were also organized for the winter of 2010. Their
mobilization remains the primary issue in this aspect of health promotion at the birthing centre.
THE NEW ENSEMBLE, VERS LA SANTÉ! PROJECT (TOGETHER TOWARDS HEALTH!)
In September 2009, the Health Promotion Department, in partnership with the Information
Management and Quality Performance Division, instituted Ensemble, vers la santé!, a program
to promote well-being that uses a participatory and collective approach, with the Housekeeping
Service employees of the Saint Luc and Hôtel Dieu hospitals. In conjunction with the managers,
the employees filled out a questionnaire about their lifestyles (diet, physical activity and tobacco
use), as well as how they manage their day-to-day lives (stress factors). The questionnaire
results were submitted to the team, which then established a program based on the participants’
desires to change some aspect of their lives. Each participant met with a health educator to
establish a personal objective. The program, which ran over 12 weeks, 30 minutes per week,
enabled everyone to acquire practical knowledge about nutrition, stress management and
physical activity. The degree of participation and appreciation is a clear demonstration of the
program’s success. Having teams participate right from the first steps of a project and in the
decisional process is a winning formula! The second phase, planned for 2010–2011 within
entire units, will target a wide range of staff (physicians, nurses, professionals, office staff, etc.).
The Health Promotion Division is particularly active with our employees, organizing a Health
Week, a fun fair, informational stands to raise awareness about subjects such as the dangers of
too much sun, the Percé Rock challenge, as well as a number of lectures, including one entitled
Quand la marmaille nous met en boîte, about developing healthy behaviours in children.
ASSESSMENT OF HEALTHCARE TECHNOLOGIES AND INTERVENTION METHODS
FOR QUALITY CARE
All the CHUM’s departments are called upon to surpass themselves every day, in clinical
research, teaching and in provision of services.
Our managers sometimes have difficult technological choices to make. In order to remain
innovative while ensuring quality and safety, the Assessment of Healthcare Technologies and
Intervention Methods Division assists the hospital’s decision-makers in improving care by
helping them make optimal technological choices. Assessments are carried out on instruments,
devices, drugs, medical and surgical procedures, support techniques, activities with patients
and the organization of care and services.
THE THREE GUIDELINES
 Improvement of the public’s health
 Partnership with all those involved
 Sharing the results of assessments
ASSESSMENTS CARRIED OUT IN 2009–2010




Trans-anal endoscopic microsurgery
Hybrid operating rooms
Cost-effectiveness analysis of bedpan washers and hygienic bags
Da Vinci robot-assisted surgery in oncological gynaecology
Concurrent to the activities described previously, the Assessment of Healthcare Technologies
and Intervention Methods Division participates regularly in the Enjeux et pratiques (issues and
practices) workshops of the Agence de l’évaluation des technologies et des modes
d’intervention en santé.
ON THE WEB
The scientific activities and reports produced by the Assessment of Healthcare Technologies
and Intervention Methods Division are available in French at www.chumontreal.com, by clicking
on the Notre équipe tab, then on Les directions, and then La Direction de l’évaluation des
technologies et des modes d’intervention en santé.
OUR DEPARTMENTS
ANAESTHESIOLOGY
THE CHALLENGE OF HIRING AND KEEPING STAFF IN A TIME OF SHORTAGES
The level of excellence and expertise of our members in the front-line sectors of
anaesthesia make the CHUM a desirable place to do a postdoctorate.
The anaesthesiology department is renowned for the excellent service it provides to patients,
helping them get through their surgical ordeal as comfortably and safely as possible. Pain
management, both before and after surgery, is a major challenge, and the team works to
develop options to provide optimal support in a context in which, increasingly, surgery is
performed on an outpatient basis.
The Acute Pain Service (APS) works with the clinician researchers in the Department to design
and validate protocols to continue pain control at home.
Once again this year, the department is receiving postdoctoral fellows in neurosurgical
anaesthesia. To do so, it has developed a support structure to respond to the rising demand of
postdoctoral fellows in locoregional anaesthesia and liver transplants.
A NUMBER OF PUBLICATIONS IN CLINICAL RESEARCH
 Neurosurgery
 Locoregional anaesthesia
 Liver transplant
PERINATALITY
A NEW OBSTETRICAL FOLLOW-UP CLINIC
In September 2009, the Perinatal Service of the CHUM opened a new pregnancy
monitoring clinic, under the responsibility of general practitioners.
This new clinic aims to improve accessibility to primary care for pregnant women in the territory
covered by the Jeanne-Mance CSSS. It also has the objective of exposing our medical clerks to
the role played by the family physician, such as in obstetrical practice, where the approach is
more holistic and less interventionist.
The Perinatal Service is also involved in two important programs to improve the quality of care,
in conjunction with our Gynecology-Obstetric Department.
QUARISMA (Quality of Care, Management of Obstetrical Risks and Birthing Mode in Québec)
This multicentre project aims to improve the quality of care to a low-risk clientele, while reducing
numbers of C-sections. Since it was established, we have noted a reduction in the use of
continuous foetal monitoring and induction for post-term pregnancies. For more details, consult
http://www.sogc.org, on Our Projects tab, then QUARISMA.
MOREOB (Managing Obstetrical Risk Efficiently)
This program has been established in most hospitals in Québec where babies are delivered. It
integrates patient safety, professional development and performance improvement for
caregivers and administrators. It promotes training in multidisciplinary teams. For more details,
go to http://moreob.com.
Another goal of the new clinic is to encourage more students to choose obstetrical practice in
family medicine. Ultimately, it is our youngest patients who will benefit.
SURGERY
SIGNIFICANT PROGRESS
The joint medical-surgical team is very active in clinical research, participating with the
anaesthesiology team in a number of national and international clinical trials on
immunosuppression and blood transfusions during liver transplants.
In order to better assess treatment for liver cancer, the creation of a tissue biobank (now under
development) will enable translational research to be carried out to study molecular and cellular
factors that can influence therapeutic decisions and resistance to chemotherapy or biotherapy.
The liver transplant program is very present in university activities, notably in the training of
residents and postdoctoral fellows and in the medical training of surgeons and
gastroenterologists in Québec, as well as other health professionals working with this specific
clientele.
DISTINCTIONS
Dr. Jean-Baptiste Lattouf obtained a research grant from the Fonds de la recherché en santé
du Québec (FRSQ). For a number of years, Dr. Lattouff has been studying clear cell renal
cancer. His objective over the next four years is to discover the genes that regulate arborization
and cellular invasion in this type of cancer. He believes that these genes may be biomarkers of
aggressiveness.
Thanks to the use of microarray techniques, the researcher is able to use a selection of genes
that should lead to increasing knowledge about this type of cancer. His long-term goal is to
determine markers of aggressiveness and, ultimately, to explain the biological role of these
markers in the neoplastic cascade that unfolds during tumorigenesis.
In addition, Dr. Jean-Baptiste Lattouf set up a fresh tissue bank for research projects on kidney
cancer, which has been approved by the CHUM’s scientific and ethics committees.
Dr. André Robidoux received the prestigious NSABP Lifetime Achievement Award from the
National Surgical Adjuvant Breast and Bowel Project (NSABP), attributed to researchers who
have made an exceptional contribution to the numerous successes of the NSABP in Canada
over the years. He was also appointed as the Principal Liaison Officer for the NSABP in
Canada, which makes him responsible for, among other things, the development of the NSABP
in Canada. The award and the title are recognition of his hard work and a mission accomplished
successfully. The team of surgeons and researchers who contributed in one way or another to
this mission are doctors Ginette Martin, Erica Patocskai, Edgard Nassif, Claude Potvin, Maté
Poljicak and Rami Younan. We also wish to point out the intense work and sustained motivation
of his assistant, Nicole Tremblay.
Dr. Réal Lapointe, Chief of the Hepatobiliary and Pancreatic Surgery Service, was actively
involved in publication of a document on the resectability of hepatic metastases of colorectal
origin. Published in both French and English, this educational document provides professionals
working in oncology with a precise summary of current probative data and practical advice to
help determine which patients are eligible for resection and those who could benefit the most
from such an intervention.
Dr. Richard Mouffarège, plastic surgeon, wrote three chapters of a new educational manual on
breast augmentation.
The team of Dr. Martin Desrosiers, ORL at our research centre won first prize for the best
abstract in the rhinitis, sinusitis and immunotherapy category at the prestigious annual meeting
of the American Academy of Allergy, Asthma and Immunology. Dr. Roberto Castano,
postdoctoral student in Dr. Desrosiers’ laboratory, carried out this innovative work that, for the
first time, linked the genes associated with cancer and inflammatory sinus disease. It was the
second time the research team was recognized this year, having also been awarded a first prize
in basic research from the American Rhinologic Society in the fall.
Dr. Moishe Liberman, thoracic surgeon, obtained full funding from the CFI Leaders Opportunity
Fund for his research into diagnostic ultrasound techniques for pulmonary parenchymal
pathologies, more specifically, his system of minimally invasive endoscopic ultrasound for the
diagnosis and treatment of lung cancer in the framework of the research and clinical trials. The
project will have considerable technological and clinical spinoffs, and will benefit the healthcare
system and patients.
Dr. Alain Bouthillier’s courage and determination enabled him to reach the summit of
Aconcagua, in Argentina, in January 2010. The expedition’s objective was to raise funds for
epilepsy research.
A NEW INSTRUMENT IN THE RENAL AND PANCREATIC SURGICAL TRANSPLANT
SERVICE
Tissue and organ ischemia and reperfusion injuries are of concern during vascular surgery,
revascularization and transplantation. This is what led Dr. Jacques Malaise of the Renal and
Pancreatic Transplant Surgery Service to procure a pulsatile perfusion device, which eliminates
vascular resistance more effectively than with a non-pulsatile device, and even more again than
with simple conservation on ice. Toxic metabolites can thus be eliminated and, through the
uptake of nutrients, use of an oxygen transporter is no longer necessary. In 2009, the medical
literature confirmed that there were major and positive benefits from this technique.
The effect on micro-vascularization is translated by a reduction in the late function of the renal
transplant, which requires the use of post-transplant dialysis, or by a decrease in the duration of
this dialysis, if it is necessary. The technique markedly reduces the failure of transplants over
the first year. The benefits are more visible in the case of marginal donors or cardiac death
donors, where the late function is much more frequent. This means a reduction in the cost of
care, not only during the first year of the transplant, but even up to 20 years later.
It is through the great generosity of the volunteers of Hôpital Notre-Dame that we were able to
acquire this cutting-edge equipment. We are deeply grateful to them.
MEDICINE
ULTRA-SPECIALIZED CARE
In collaboration with the other departments, the Medical Department contributes very
significantly to ultra-specialized care.
For many years, the Nephrology and Hepatology services have had a strong transplantation
program. A few years ago, Québec’s only lung transplant program was added to it. In 2009–
2010, 93 kidney transplants, 56 liver transplants, 31 lung transplants, six kidney-pancreas
transplants and one kidney-liver transplant were performed.
This intense activity requires dedicated medical teams. To improve effectiveness and to foster
exchanges, Dr. Marie-Josée Hébert runs a program to harmonize the links among the hospital
centres that perform transplantation, both those of McGill University and Université de Montréal.
In addition, to improve service to patients, Dr. Catherine Girardin and her team have set up a
program to facilitate monitoring of transplant patients in hospital centres close to their homes.
REPUTATION
The reputation of a university hospital is almost always based on the result of the research that
emerges out of the talent, the practice, the passion and the perseverance of its researchers.
The events of 2009–2010 are confirmation of this.
 In March 2010, Dr. Jean-Pierre Pelletier and Johanne Martel-Pelletier of the CRCHUM
and the Rheumatology Service received the 2010 King Faisal International Prize, in the
Medicine category. Since the creation of the prize in 1976, only two Canadians have been
thus honoured. The prize recognizes almost 30 years of research into osteoarthritis, a
disease that affects 65% of people aged over 59. As Dr. Jacques Turgeon, the director of
CRCHUM stated, the awarding of the prize is proof that the laureates, like the other
researchers of the CHUM, are part of a global elite.
 In 2007, Dr. Bernard Brais, a neurogeneticist in the Neurology Service, who runs the
CRCHUM’s neurogenetic laboratory, described a new form of muscular dystrophy. Since
then, with his team, he has discovered the genetic abnormality responsible for this new form
of muscular dystrophy and he published his results in February 2010. In July 2009,
Dr. Alexandre Prat, neurologist and director of the CRCHUM’s neuroimmunology
laboratory, published a study on the aetiology of multiple sclerosis, carried out in
collaboration with U.S. and German research groups. The study looks promising for a
treatment that will limit the autoimmune reaction.
 In October 2009, Dr. Vincent Poitout and his team of students studied the mechanisms
through which fatty acids modulate the function of the β cells in the pancreas responsible for
insulin synthesis and secretion. The team sought to determine the cellular and molecular
mechanisms of inhibition of the insulin gene by fatty acids. For his work, Dr. Poitout received
the Young Scientist Award from the Canadian Diabetes Association, presented at the last
world congress of the International Diabetes Federation.
RECRUITMENT
A very eloquent sign of the Department’s activity and its desire to move forward is the
preparation, orientation and support of future recruits. This year, there were six departures,
retirements or deaths, and 31 new physicians hired in the Medical Department. Not only are
these recruitments important, they mean that everyone must receive additional training. The
vitality and quality of recruitment in the Medical Department speaks to our dynamism and our
constant search for excellence.
RELATIONSHIPS WITH THE PATIENT
Contact with patients is, above all, a personal matter, based on receptiveness, comprehension,
empathy and respect. The aspect of information becomes increasingly important because
sources of information are multiple and variably reliable, and because the medical field is
complex. To respond to these needs, a number of members of the Medical Department
participate in continuing medical education at symposia and conferences, and also through
publications geared to the general public. What follows are a few notable examples.
 In November 2009, the cardiology service held cardiovascular diseases awareness days.
They included workshops, lectures, personal reports and a booth to assess people’s
cardiovascular risk profile, where visitors could get their blood pressure taken and their fat
and sugar levels measured.
 Dr. François Reeves, cardiologist, published a book entitled Planète Coeur, in which he
examined the relationship between cardiovascular disease and the environment.
 The subject of cancer is also important in our dialogue with our patients. In March, the
superregional breast cancer interdisciplinary team, of the Centre de lutte contre le cancer
(centre for cancer control), organized two breast cancer awareness days. Over the two
days, visitors could meet with a range of people working in the field. They could learn about
the assessment protocol and the care provided to patients with breast cancer. There were
lectures on topics such as current treatment, research and impacts on sex life. The quality of
the event was reflected in significant media coverage and the presence of over
20,000 visitors.
 Transplantation plays an important role in our ultra-specialized activities. To initiate those
involved in the health field to transplantation, Dr. Michel Pâquet organized a conference in
the spring of 2010.
PREVENTATIVE MEDICINE AND PUBLIC HEALTH
FOR THE PUBLIC'S WELL-BEING
The CHUM’s Department of Preventative Medicine and Public Health is made up of
physicians and dentists who work for the Institut national de santé publique du Québec
(INSPQ—Québec’s public health institute) and the Agence d’évaluation des technologies et
des modes d’intervention en santé (AETMIS— the Québec government agency responsible
for health services and technology assessment). These organizations work in Québec in
collaboration with Canadian and international partners.
The mission of the INSPQ is to “support Québec’s Minister of Health and Social Services,
regional public health authorities, and health and social services institutions in carrying out their
public health responsibilities, by offering its expertise and specialized laboratory and screening
services.” The mission of the AETMIS is complementary, in that it supports the Minister of
Health and Social Services and the decision-making authorities of the Québec healthcare
system “through the evaluation of health technologies and the different intervention methods in
healthcare, through the evaluation of their efficiency, safety, costs and the ratio between costs
and efficiency, as well as the evaluation of their ethical, social and economic implications.”
To put it plainly, the physicians and dentists of the Department work at understanding and
monitoring the public’s health. They provide opinions with respect to health promotion and
disease prevention. Their expertise is necessary when there are epidemics of infectious
diseases or cases of environmental contamination. They also assess the performance of our
healthcare system.
MANDATES OF THE ASSISTANT COMMISSIONER FOR APPRAISAL AND ANALYSIS
The role of the Assistant Commissioner for appraisal and analysis consists of conducting the
process to assess the performance of the health and social service system for the Québec
Health and Welfare Commissioner. The mandate includes developing an appraisal process for
the Commissioner’s performance, coordinating the determination of performance monitoring
indicators, and consultation with experts, decision-makers and citizens, as well as drafting an
orientation document published by the Commissioner. The Assistant Commissioner must also
submit two reports appraising the performance of the health and social services system,
including recommendations for improving its performance, to Québec’s Minister of Health and
Social Services.
The 2009 report dealt with primary healthcare, and that of 2010 dealt with chronic disease care
and services. The reports were disseminated in the media and throughout the healthcare
network, tabled before Québec’s National Assembly and debated in the legislature.
The role of the Assistant Commissioner also includes representing Québec in the
Commonwealth Fund’s international health policy survey and coordinating the publication of two
reports comparing Québec to a group of participating countries in the 2008 survey, which dealt
with people requiring greater need of care, and the 2009 survey on primary healthcare
providers. The Assistant Commissioner’s mandate ensures major visibility for research into
primary care. It provides a framework for the management of chronic diseases in Québec, and
for Québec to be represented in organizations that study the performance of healthcare systems
in Canada and diverse European and Asian countries.
EMERGENCY MEDICINE
THE INFLUENZA A (H1N1) PANDEMIC
The influenza A (H1N1) pandemic was one of the major worldwide events of 2009–2010.
Our emergency wards were confronted with this pandemic, but thanks to the cooperation
of all our professionals and our collective desire to find the best solution for patients and
the organization, we met the challenge brilliantly.
The stakes were high: ensuring that patients who were potentially infected would not come in
contact with uninfected patients. Every day, some 400 patients pass through the doors of the
CHUM emergency wards. Among those who were infected with the H1N1 virus, some had
received an organ transplant; others were undergoing chemotherapy or were dealing with
complex chronic diseases. The other challenge was working around the continual threat that a
significant proportion of our staff could become incapacitated. Thanks to incredible teamwork, in
the space of a few weeks we succeeded in developing a plan to remain operational.
When the pandemic hit, we were ready. The first patients would test our capacity to adapt
rapidly to the new methods of operation. Everyone respected the orders, which was essential to
our success. Every day, we had to adapt to new directives and changes in material.
Luckily, the pandemic was less virulent than anticipated, but while it lasted, everyone concerned
mobilized—emergency physicians, specialists on the floors, nurses, clerks, orderlies and
pharmacists—and proved how effective they could be.
RADIO-ONCOLOGY
ACHIEVEMENTS THAT BENEFIT THE PATIENT
The Radio-Oncology Department had a very busy year, full of activities to improve its
operational capacity and to provide the best to our patients.
ENCOURAGING INTERDISCIPLINARITY
One of the important achievements of the steering committee of the CHUM’s Radio-Oncology
Department for 2009–2010 was the creation and setting up of a structure that operates through
interdisciplinary committees. The primary goal of this new structure is to encourage cooperation
among all members of the Radio-Oncology Department to help it reach its strategic objectives,
related to each component of the CHUM’s mission: quality of care and services, research,
teaching, health promotion, technologies, and the organization of clinical work.
The committees are made up of representatives from the various disciplines pertaining to radiooncology. They meet regularly to define, operationalize and evaluate the measures that will
enable the annual strategic objectives set by the steering committee (department head, chief of
medical physics in radio-oncology, administrative coordinator, clinical-administrative comanager of the haematology-oncology group) to be reached, with respect to the relevant
component of the mission. Through the intermediary of the people jointly responsible for the six
groups, the steering committee monitors the progress of measures prioritized and publishes an
annual assessment.
REGIONAL PROJECT TO OPTIMIZE WORK PROCESSES
Since February 2010, the CHUM’s Radio-Oncology Department has participated with the three
other radio-oncology centres on the island of Montréal (MUHC, HMR and the JGH) in a project
to optimize work processes. The main objective is to reduce patients’ waiting times and to
increase the rate of use of existing infrastructure. Reaching these objectives depends on a
strategy to improve quality and processes that make use of Lean Healthcare methodology,
which requires the participation of employees, continuous improvement and elimination of
activities with no value added for patients receiving treatment at the radio-oncology centre.
Through demonstrations, workshops, group exercises and other measures at the four centres,
the Raymond Chabot Grant Thornton firm coached the CHUM through this large-scale project.
Despite a tight deadline, the four centres set ambitious but realistic objectives to increase the
proportion of activities with value added for patients, while reducing wait times. The primary
tools to measure the effectiveness of our processes and the effect of the changes are in
development (guidelines). They are slated for implementation over the coming year.
VIRAGE: FOR PEOPLE WITH CANCER AND THEIR LOVED ONES
The Virage organization offers families and their loved ones a number of services and activities,
such as individual and familial psychotherapy sessions, workshops to help them deal with the
disease, art therapy, massage therapy (in a chair or on a massage table), yoga sessions, wigs,
scarves, hats, and breast prostheses. The organization also runs the Amazone kinesiology
program for women with breast cancer during their chemotherapy and radio-oncology
treatments.
This year, the Virage volunteers did 3885 hours of work. Their valuable support enabled a
documentation centre for patients to be set up, to provide them with information about the
various resources at their disposal. Virage, in collaboration with the Jason fund, provides
financial support to a dozen young people aged between 16 and 30.
CARR CLINIC (clinic for rapid access to radiotherapy)
The Radio-Oncology Department set up a palliative radiotherapy clinic to eliminate two
problems: multiple appointments and delays before treatment begins. Patients who require
palliative radiotherapy are mainly in pre-terminal or terminal phases, with limited life
expectancies. Their condition can deteriorate rapidly and delays often compromise the
possibility of receiving treatment. These patients are also all suffering, and their symptoms and
pain are only partially relieved by medical treatment. Sometimes, the symptoms are completely
resistant to treatment and patients continue to suffer. Delays thus significantly affect their quality
of life. Their symptoms and pain can also limit their mobility. It is therefore better to reduce the
number of their displacements as much as possible.
The goal of the palliative radiotherapy clinic is to ensure quick access, or for consultation,
planning and treatment to be done the same day. A physician ensures the triage of palliative
cases and identifies those requiring more rapid treatment. Moreover, a caseworker-coordinator
working at the clinic is responsible for the centralized management of consultation requests as
well as managing the clinic's hours, planning and treatment.
The clinic was established in December 2008 and more than 610 patients have been treated
there to date. The following objectives have been reached:
 Facilitation of access to palliative radiotherapy treatment;
 A decrease in waiting times for assessment and treatment of patients who require palliative
radiotherapy;
 Improvement in the overall quality of care to patients suffering from metastatic cancer and in
collaboration and communication with the attending physicians;
 Coordination of the efforts of the various workers involved (physicians, nurse navigators,
pharmacists, social workers);
 Promotion of research into the control of pain and symptoms of cancer patients.
CYBERKNIFETM
One of the highlights for the CHUM’s Radio-Oncology Department in 2009–2010 was the
acquisition of the CyberKnifeTM and putting it into operation. This instrument is used for
stereotactic/radiosurgery treatment, i.e., the administration of high doses of radiation with
extreme precision, which saves the adjacent healthy organs. The treatment is referred to as
“non-invasive” because it does not require external immobilization, unlike other specialized
stereotactic radiotherapy devices. Another advantage is that of providing the possibility of
treatment for certain patients who are not eligible for conventional treatment techniques. As the
patient’s well-being is central to our activities, we believe that this acquisition is a major asset
that can be added to the range of services already provided by our department.
We receive requests for treatment from all over Québec and the rest of Canada. This realization
is the result of consummate multidisciplinary collaboration and a prodigious amount of work
carried out brilliantly by the members of the Radio-Oncology Department and colleagues from a
variety of specialties, including radiology, neurosurgery, thoracic surgery, pulmonology and
gastroenterology. It contributes to providing better service to people in Québec and the rest of
Canada and helps the CHUM improve the quality of care to patients with cancer. In addition, the
acquisition has led to the creation of a research program, in relation to to the pursuit of our
teaching and research missions.
The CyberKnifeTM is unique in Canada. It was first put into operation on June 24, 2009. By the
end of the financial year, over 610 patients have been treated for numerous tumour subsites
(neurology, pulmonary, palliation, head and neck, spine).
BIOCHEMISTRY
EXPERTISE IN THE SERVICE OF OUR PATIENTS
During the financial year 2009–2010, the Biochemistry Department developed its
expertise in a number of fields, as proven by its numerous publications and distinctions.
DISTINCTIONS
 Dr Bernard Vinet: Award for Excellence in Research, from the American Association of
Clinical Chemistry (AACC) and the Canadian Society of Clinical Chemistry (CSCC), 2009.
 Dr Bernard Vinet: Award for the best poster, AACC-CSCC meeting, 2009, Chicago.
PUBLICATIONS
 Brown J.-P., Albert C. et al. Bone turnover markers in the management of postmenopausal
osteoporosis. Clin. Biochem. 2009; 42(10-11): 929-42.
 Radwan, Farouk et al. Effects of a Diet Higher in Carbohydrate/Lower in Fat Versus Lower
in Carbohydrate/Higher in Monounsaturated Fat on Postmeal Triglyceride Concentrations
and Other Cardiovascular Risk Factors in Type 1 Diabetes, Diabetes Care 2009; 32: 15971599.
TEACHING
In 2009–2010, the members of the Biochemistry Department were very involved in teaching, in
particular, in receiving numerous trainees.
 Nine trainees in medical laboratory techniques;
 One foreign trainee from the pharmacy faculty of Université de Rennes, France;
 Eighteen residents from clinical biochemistry, medical biochemistry, endocrinology and
nutritional medicine, Université de Montréal.
LECTURES
 Dr. Jean-Pierre Émond. Full day short course, Serum protein electrophoresis. AACC–
CSCC meeting, Chicago, 2009.
 Dr. Jean-Pierre Émond. Analyses du liquide céphalorachidien (Cerebrospinal fluid analysis).
Continuing education, Association des biochimistes cliniques du Québec.
 Dr. Élaine Letendre. Pharmacy Department, Nephrology Service and Nursing Division,
CHUM.
 Dr. Élaine Letendre. Family Medicine departments in the following institutions: Hôpital JeanTalon, Hôpital Fleury, Hôpital du Haut-Richelieu, Centre hospitalier d’Amos, Cité-de-laSanté de Laval, Hôpital de Roberval, Hôpital de Chicoutimi, Hôpital de Dolbeau and Hôpital
Le Gardeur.
 Dr. Élaine Letendre: Family Medicine departments in the following institutions: C.H.R. de
Lanaudière, C.H. de la Mauricie, Hôtel-Dieu de Sorel and the Department of Clinical
Nutrition of the Université de Montréal.
 Dr. Élaine Letendre: Société des sciences vasculaires du Québec, Association des
médecins omnipraticiens de la Mauricie and Société québécoise d’ophtalmologie.
 Dr. Élaine Letendre: CME day for general practitioners from the Montérégie, Montérégie
pharmacists’ symposium, Association des médecins-gériatres du Québec, CSSS Ahuntsic
continuing medical education committee, and the Clinique de médecine familiale Sorel.
OUR RELATIONSHIP WITH OUR PATIENTS
Screening centre instructions are translated into four languages (English, Spanish, Italian and
Mandarin) to help patients with limited or no French understand them and to improve the quality
of the samples to be analyzed.
STOMATOLOGY
EXPERTISE AND LEARNING IN ONE PLACE
Our Stomatology Department, whose mission is caring and teaching, receives over
9000 visits per year, making it the largest hospital dental centre in Québec.
In this field, the CHUM is the exception to the rule, because very few French hospital centres
have a dental centre. The department is also the largest supraregional centre in maxillofacial
prosthodontics, completely dedicated to head and neck oncology. The expertise of the
Stomatology Department is unique and unequalled among all the university and non-university
hospital centres. Its role within the hospital is justified by its active collaboration with other
medical specialties, such as ORL and radio-oncology, to reach the goal that everyone at the
CHUM works toward: high-quality care for patients.
The Department participates in training undergraduate and graduate students, as well as dental
medicine doctoral students. This year, the Stomatology Department received seven
multidisciplinary residents and students from the fourth-year surgical practicum program,
exposing them to a diversity of cases that only a major hospital centre like the CHUM can offer.
Stomatology is a superspeciality, which deals with replacing missing tissues from the mouth and
face using artificial substitutes.
ENDOCRINOLOGY
A CLINIC SPECIALIZING IN ADRENAL PATHOLOGIES
Run by doctors Isabelle Bourdeau and André Lacroix, endocrinologists, this specialized
clinic is unique in Canada.
Patients throughout Québec who are battling adrenal tumours, adrenal cancer, Cushing's
syndrome, primary hyperaldosteronism, pheochromocytoma, paraganglioma, congenital
hyperplasia of the adrenal glands or Addison's disease are directed to our clinic.
The intense activity at our clinic and our international reputation marked the 2009–2010 financial
year.
 Designation as a quaternary centre for adrenal tumours in Québec’s cancer control
program.
 Specialized investigations in gene medicine of adrenal cancers, pheochromocytoma, and
paragangliomas. (I. Bourdeau).
 Catheterization of adrenal veins and petrosal sinuses in angioradiology.
 Specialized imaging investigations (radiology and nuclear medicine) in the
biochemistry/endocrinology laboratory for dosage of blood mitotane (the only centre in
Canada), catecholamine and other hormones.
 New developments in therapy, including new drugs to treat Cushing's disease, such as
cabergoline and pasireotide, chemotherapy for adrenal and pheochromocytoma/malignant
paraganglioma cancers (A. Lacroix, I. Bourdeau, H. Olney), laparoscopic surgeries and
extensive resection (urology and hepatobiliary surgery).
Our specialized clinics and our research activities enable us to receive many residents and
postdoctoral fellows in a number of specialties.
HONOURS (A. LACROIX)
 Novo-Nordisk Award for best speaker, 2010, Dutch Endocrine Annual Meeting,
Noordwijkerhout, Netherlands, January 2010.
 Member of the organizing committee of the International Congress of Endocrinology, Kyoto,
Japan, March 2010.
 Member of the editorial board and editor-in-chief of the Adrenal section of Up to Date in
Endocrinology (2006 to date).
 Consultant on the editorial board of Hormone and Metabolic Research (January 2010 to
date).
PUBLICATIONS
 Lampron, A., Bourdeau, I., Oble, S., Godbout, A., Schurch, W., Arjane, P., Hamet, P., and
Lacroix, A. Regulation of aldosterone secretion by several aberrant receptors including for
GIP in a patient with an aldosteronoma. J Clin Endocrinol Metab. 94:750-756, 2009.
This is the first demonstration through an in vivo and in vitro study that the secretion of
aldosterone by adrenal tumours could be regulated by aberrant receptors abnormally
expressed in these tumours. This new mechanism, which explains renin-independent
secretion in primary hyperaldostoronism, is important because this pathology is responsible
for 10% of cases of high blood pressure in humans.
 Hsiao, H-P., Verma, S., Nandagopal, R., Boikos, S.A., Bourdeau, I., Keil, M.F., RobinsonWhite, A.J., Kirschner, L.S., Lacroix, A., and Stratakis, C.A. A Molecular and Clinical Genetic
Investigation of ACTH-independent Macronodular Adrenal Hyperplasia Compared to Other,
Common Adrenocortical Tumors: Evidence for Heterogeneity Overlap with Other Tumor
Syndromes and Frequent but Atypical Hormonal Secretion. J Clin. Endo Metab. 94: 293037, 2009.
Our preliminary studies demonstrating that the expression and abnormal function of several
ectopic or aberrant receptors in bilateral macronodular adrenal tumours and hyperplasias
responsible for hypocorticism (Cushing’s syndrome) have been confirmed in the major study
carried out by the National Institutes of Health (NIH), United States. Our research protocol
on aberrant receptors was applied to the population of patients monitored by the NIH over
the past five years and confirms the presence of diverse aberrant receptors in this
pathology.
INVITATIONAL LECTURES (DR. A. LACROIX)
 Aberrant hormone receptors: new insights in the molecular mechanisms of excess steroids
in adrenocortical tumors. Annual meeting, Society of Comparative Endocrinology, Québec,
May–June 2009.
 Aberrant hormone receptors in primary aldosteronism. Symposium on progress in primary
aldosteronism 2009, Munich (Germany), July 2009.
 Molecular mechanisms of excess steroids in adrenocortical tumors: role of aberrant
hormone receptors. Endocrine Grand Rounds Division of Endocrinology, Padova, Italy, July
2009.
 Aberrant hormone receptors in adrenal Cushing’s syndrome and primary aldosteronism:
clinical and genetic aspects. Cameron-Gilmour Medical Grand Rounds, University of
Manitoba, October 2009.
 The adrenal mass. Meet-the-professor session, Annual scientific meeting, Canadian Society
of Endocrinology and Metabolism, Montréal, October 2009.
 Aberrant hormone receptors in adrenal overfunction. Novo-Nordisc Plenary speaker 2010.
Annual meeting of the Dutch Endocrine Society, Noordwijkerhout, Netherlands, January
2010.
 Effects of Cushing’s syndrome on the brain and brain function. Cushing’s Support and
Research Foundation, National Cushing Education Day, San Francisco, United States,
February 2010.
 ACTH-independent Cushing’s syndrome. Meet-the-professor session. International
Congress of Endocrinology, Kyoto, Japan, March 2010.
PALLIATIVE CARE
EXTRAORDINARY END-OF-LIFE SUPPORT FOR PATIENTS
The mission of the palliative care unit is to provide support to patients, their families and
the care teams, to efficiently organize end-of-life care for patients, to ensure follow-up
with medical-surgical specialties and to provide comfort focused on the well-being of the
patient, in particular, the relief of pain.
The palliative care unit has existed since 1979. The rapid development of the field of oncology
and the deterioration in the condition of patients at the end of their battle against the cancer led
to the establishment of palliative care, mainly for oncological patients. In fact, today the unit
comes under purview of the cancer program at the CHUM and its presence is important for the
recognition of the supraregional status of that area of specialization. The vocation of palliative
care is nevertheless much broader then oncology and concerns the comfort of patients across
all the major specialties, including cardiology, pulmonology, nephrology and neurology. The
community of Montréal benefits from exceptional support that is widely recognized and the
Université de Montréal can offer high-quality theoretical and practical teaching dealing with the
problems of holistic and interdisciplinary end-of-life care to its students in medicine, nursing
care, pharmacy, social work, spiritual care, etc. Teaching, research and outreach also are
fundamental to this unit. To ensure quality care, the volunteers, who accompany the patients
and their families, must be trained by the Fondation Palli-Ami.
CLINICAL ACTIVITIES
The palliative care unit provides a presence and services at the three CHUM hospitals. However,
at Hôpital Notre-Dame, most of its work is in oncology, where care is more developed because of
the close link with the Oncology Department. The professionals in the unit carry out consultations
in the hospital and the emergency ward, ensure joint follow-up, manage an outpatient clinic for
follow-up care and a hospitalization unit with 13 beds, responding in part to the needs of Hôpital
Notre-Dame, and the two other institutions. A medical team made up of ten physicians, two nurse
navigators and a care team for the hospitalization unit (nurses, nurse’s aids, social workers,
spiritual care providers, music therapists, massage therapists, psychologists, volunteers) ensures
follow-up and service.
TEACHING
The palliative care unit also has teaching responsibilities. In 2009–2010 this meant course
loads, participation in pre-med examination juries, and tutoring palliative care. In addition, the
unit also makes a dozen scientific presentations and provides continuing medical education, in
the form of five training sessions to practicing physicians throughout the year, in the scope of
accredited continuous educational activities.
CONTRIBUTING TO THE CHUM’S REPUTATION
Several members of the team contribute to the CHUM’s reputation, not only throughout Québec
and the rest of Canada, but also abroad, by publishing books and articles in specialized journals
and newspapers. Their numerous presentations at symposia, conventions, and scientific events
as well as their lectures to the general public and their televised presentations also contribute to
the CHUM's renown.
Dr. Serge Daneault, a specialist in community health, ensures palliative homecare with Des
Faubourgs CLSC. An investigator funded by the CIHR (2009–2010), he is responsible for
research within the Service and delves into the notion of “the wounded healer.” He has also
contributed to a number of scientific journals, including Healthcare Policy as a reviser, since
2009.
FONDATION PALLI-AMI
The palliative care unit benefits from the support of the Fondation Palli-Ami. The organization
contributes to the comfort to those receiving care and provides exceptional support to some 60
volunteers who have been specially trained, and who play an important role in the lives of
patients. Their training is an important component in the activities of the Fondation Palli-Ami,
which published the Manuel de formation des bénévoles en soins palliatifs, a training manual for
palliative care volunteers, available at no cost. This training tool is useful everywhere in Québec
where palliative care is provided and accompanied by volunteers.
The Fondation Palli-Ami also picks up the costs related to the comfort of patients at the CHUM
(television, therapeutic chairs, music therapy, etc.), and helps in the operation of the outpatient
clinic (provision of appropriate examination tables). Through its help, the palliative care unit
remains a welcoming environment for patients and their families, and the professionals see their
work supported in a useful manner.
OUR HOSPITAL
THE NEW CHUM
March 30, 2009—Official launch of the Request for Proposals phase for construction of
the CHUM at a press conference. "We will build a university hospital centre that reflects our
talent and our ambitions," stated Premier Jean Charest, adding, "An innovative and ultramodern
hospital centre that will be at the service of not only Montrealers, but all Quebeckers. It will
continue to be a leader in research and teaching."
Physicians, politicians and the entire CHUM community were delighted with this commitment.
"We no longer have to talk about our hospital in the conditional tense," exclaimed the Chair of
the Board of Directors, Me Patrick Molinari. Taking advantage of the occasion that he qualified
as historic, the Chair of the Board of Directors praised the physicians and everyone else who
works daily at the CHUM, “from cafeteria employees to stretcher bearers, from pharmacists to
nurses, who all,” he stressed, “show an uncommon sense of commitment.”
April 2009—The demolition of 333, rue Saint-Antoine left the site ready for construction of
the CHUM research centre. Much of the demolition material was recycled. For example, the
steel and aluminum was smelted, and the stone was crushed, re-cut or re-polished for other
uses. Material was sold to suppliers for re-use, all of which meant that the CHUM could affirm
that the demolition was carried out in respect of the environment.
May 4, 2009—Meeting of those responsible for the CHUM’s technological sector and
members of the health technologies industry, in order to discuss their respective expertise in
the hospital care of the future. The event was organized at the request of the Association de
l’industrie des technologies de la santé, which promotes access to safe and innovative
technology designed by some of its members. Its directors were interested in discovering the
role technology will play at the new CHUM. Marjan Yazdanpanah, Technology Consultant and
member of the nouveau CHUM team, told an audience of the initiated about the technological
vision underlying the new facilities. Looking forward into the CHUM’s future, she made
predictions about the evolution of technologies at the institution. Jean Huot, Director of
Technological Resources, explained how the CHUM would make the transition to becoming a
digital hospital.
May 19, 2009—Holding of a public consultation meeting to listen to submissions from
community members concerned about the changes proposed to municipal bylaw no. 06-040
authorizing the establishment of the Centre hospitalier de l’Université de Montréal in downtown
Montréal. Citizens and interest groups wanted to make their voices heard before the sector
where the future CHUM is to be built was decreed a “special planning zone.” Their concerns
dealt exclusively with the proposed changes to municipal bylaw no. 06-040, adopted on May 26,
2008 following public consultations held in the fall of 2006.
Journalist Marc Laurendeau acted as meeting’s chairperson. He stated that, thanks to
transparent and fair rules of order, those who wanted to speak could do so completely freely.
The topics were divided into three 30-minute blocks. The first dealt with the building’s height, the
density of the occupied space and the demolition of Hôpital Saint-Luc. The second dealt with
the integration of CHUM into the urban fabric, and the bell tower of Saint-Sauveur church into
the institution’s architecture. The third block concerned parking and traffic.
May 2009—Creation of the group Les amis du CHUM. Proud that the CHUM is situated in
their area, citizens of the Ville-Marie Borough and local development stakeholders combined
forces to create Les Amis du CHUM centre-ville. The group’s aim was provide a platform for
people convinced of the positive spin-offs that the CHUM project could have on life in the
district. Through this forum, members of the group are able to follow public opinion and help
explain the various issues related to the project. The group is a logical continuation of the
coalition formed in 2005 to support the establishment of the CHUM at 1000 St-Denis. That
coalition included about 50 economic and community organizations, as well as businesses and
citizens.
June 2009—Visit of an economic and political delegation from Bavaria interested in
developing business projects in Québec. The medical sciences and technologies delegates
expressed their desire to meet the Executive Director of the new CHUM in order to better
understand the future characteristics, the particularities of the public-private partnership process
and the provision of equipment in a technologically advanced hospital centre.
Fall 2009—Conference of French-speaking Witness software users in Paris. A team made
up of the CHUM, Genivar and the MUHC presented the work carried out for the hospital centres
during a conference held in Paris. In Québec, modelling is virtually unknown: it had never been
previously used to prepare for the construction of a hospital centre. The CHUM is therefore a
pioneer and it is this innovative experience that was shared in France. Witness is a process
simulation software program created by the Lanner Corporation, which enables buildings such
as hospitals to be designed and improved. This engineering tool, used by the CHUM team, used
computer-generated models to simulate real processes. It also assists in validating the
processes chosen or in finding better solutions to recognized problems.
January 2010—Continuation of workshops to choose the private partner for construction
of the new CHUM. While the first series of workshops that have been held since April 2009
were set up to explain the technical and functional needs of the future CHUM, the sessions held
at the beginning of 2010 handed over the floor to the bidders. They presented their preliminary
proposals and demonstrated that they responded to the requirements laid out in the functional
and technical program (FTP). The goal of the exercise was to furnish the proponents with an
appraisal of the work being carried out so that they could return to their drawing boards, make
whatever changes may be needed, and refine their proposals for subsequent workshops. The
CHUM participants were mainly co-managers and service heads. More precise plans were
presented, detailing each of the major sectors of the hospital, such as the hospitalization units
and outpatient, diagnostic and therapeutic activities. In the future steps, planned for 2010 at the
latest, nurses and orderlies, as well as other professionals were also to be invited to the
discussion workshops. In the fall of 2010, thanks to everyone’s hard work, the CHUM had two
good proposals on the table. The challenge? Choosing the best!
March 25, 2010—The announcement of the choice of bidder selected by the new
CRCHUM kicked off the CHUM modernization project and the opening of the construction site
for its future research centre. Québec's premier, Jean Charest, accompanied by other
dignitaries and our Executive Director, Christian Paire, took part in the ground-breaking
ceremony. On the ground, the construction crews began by clearing out the interior of the
building on Viger Street, which was then demolished. Over the summer months, cranes,
backhoes and other heavy machinery carried out the assault on the block delimited by Viger,
Saint-Denis and Saint-Antoine streets and the Ville-Marie highway access ramp. The work is
slated to take over three years to complete.
OUR PRESENCE IN THE MEDIA
In the news, the CHUM stands out especially because of the achievements of those who
make its reputation. Among the some 500 articles, files, television or radio reports in
Canadian and international media that highlight the defining moments, some subjects
generate a particularly sustained and often prestigious media coverage. The following
are some of the main subjects that enabled the CHUM to stand out this year in the media.
2009
April
The event surrounding the launch of the Request for Proposals to build the future CHUM was
covered by all of the Québec media and gave rise to numerous reactions from the general public,
especially over the Internet (Me Patrick A. Molinari, Dr. Paul Perrotte and Serge LeBlanc).
Technological modernization of the CHUM Pharmacy Department and the deployment of
automated single-dose dispensers. Les années-lumière program, Société Radio-Canada
(Denis Bois and Lyne Constantineau).
Treatment of refractory depression by stimulation of the vagus nerve. Program Découverte,
Société Radio-Canada. (Drs. André Bouthillier and Paul Lespérance, Élise Lagarde, nurse).
Influenza A (H1N1): the microbiologist-infection specialists of the CHUM and the Fondation du
CHUM’s travel clinic demystified the disease for the general public. Almost 20 interviews given
on the radio (98.5 FM, SRC) and on television (TVA/LCN). (Drs. François Lamothe, Fernand
Turgeon and Jean Vincelette).
May
A plastic surgeon from the CHUM reconstructed the face of a woman disfigured by a dog. TVA
(Dr. Alain Danino)
Appointment of Christian Paire to the position of General Director of the CHUM. Over 30 neutral
or positive mentions in the provincial medias.
June
Insular surgery: an innovative surgical technique gives hope to epilepsy patients. Canadian and
US media including La Presse, Le Journal de Montréal, ruefrontenac.com, CBC, USA Today,
Los Angeles Times and Newsweek (Drs. Alain Bouthillier, Ramez Malak and Dang Khoa
Nguyen)
July
Surgical ablation of the ovaries increases the risk of lung cancer: results of the study carried out
by Anita Koushik and Jack Siemiatycki. Canadian and international media, including the New
York Times and the Times of India (Anita Koushik and Jack Siemiatycki)
August
Diffusion of the results of the North American Opiate Medication Initiative (NAOMI) study,
published in the New England Journal of Medicine. Canadian and international media, including
the Wall Street Journal and the Los Angeles Times (Drs. Suzanne Brissette and Pierre Lauzon).
September
Le CyberKnifeTM, the first robotic radiosurgery system for treating tumours noninvasively to be
installed in Canada. Canadian media (Dr. Édith Filion).
Raising public awareness of organ and tissue donation. Greg Davis’s bicycle tour wrapped up
successfully at the CHUM. TVA (Bonne nouvelle) and CTV (Dr. Michel R. Pâquet).
Prostate cancer awareness days. Montréal media (Dr. Paul Perrotte).
La recherche en santé, a special report published in the newspaper Les Affaires: presentation of
several health research projects being carried out at the CRCHUM (Drs. Pavel Hamet, MarieJosée Hébert, Anne-Marie Mes-Masson, Diane Provencher and Guy Rouleau).
An explanation of the COMPARE-AMI clinical trial, on the use of immature stem cells after a first
heart attack. Télé-Québec, Le Code Chastenay program (Dr. Samer Mansour).
October
Two episodes of the Découverte program dedicated to the realities of cancer: the experience of
patients, therapies and innovative research avenues. Société Radio-Canada (Dr. André
Robidoux and Jean Morin).
The new Director General, Christian Paire, met with Québec media. Almost 15 media outlets
were present at the press conference to introduce the man, the visionary, the manager. Articles
in the major print media, including Canadian Healthcare Technology (Me Patrick A. Molinari and
Christian Paire).
The CHUM’s Marcel & Rolande Gosselin foundation and the Thoracic Surgery Research
Foundation of Montréal created a new chair to recruit an eminent thoracic surgeon and
researcher, Dr. Moishe Liberman. Canadian and international media, including The Financial
Times and the National Post (Dr. Moishe Liberman).
December
Special issue in the daily Le Devoir on Les Entretiens Jacques-Cartier: Santé et vie publique :
l’obésité est devenue un mal universel (Dr. Lise Gauvin) – Ville, université et entreprise : le
savoir rend la ville dynamique (Christian Paire and Guy Gélineau).
The VIH-TAVIE research project: evaluation of an on line computer tool to help people living
with HIV. Le Devoir (José Côté and Geneviève Rouleau).
2010
January
Award of excellence in graphic arts from the Radiological Society of North America, bestowed
on André Dubois. Infopresse (André Dubois)
February
King Faisal International Prize 2010: two internationally recognized Montréal researchers
received the prize in the Medicine category for their work into osteoarthritis. Canadian and
international media, including the Arab News (Dr. Jean-Pierre Pelletier and Johanne MartelPelletier).
March
The first breast cancer awareness days at the CHUM. Montréal media (Drs. Danielle
Charpentier and Jean-Pierre Guay).
Launch of work on the new CHUM research centre in the presence of Premier Jean Charest,
Yves Bolduc, Minister of Health and Social Services, and Monique Gagnon-Tremblay, President
of the Treasury Board and Minister responsible for Public Administration. Over 60 positive
mentions in provincial media (Christian Paire, Jacques Turgeon, Dr. Marie-Josée Dupuis).
AN INTERNATIONAL REPUTATION
THE CHUM, A WORLDWIDE LEADER
The CHUM is the largest francophone hospital centre in North America. Its research
centre, the CRCHUM, is one of the best in Canada.
Our researchers publish the results of their work in respected international medical journals. Our
most eminent physicians participate in national and international projects and are asked to
lecture all over the world. And, as you will see in the following paragraphs, several of them
made major medical breakthroughs that were recognized with prestigious prizes.
A study that made the cover of the Journal of Neurosurgery in June 2009, dealt with the
research being carried out by the team of Drs. Alain Bouthilier and Dang Khoa Nguyen,
neurosurgeons, on an old epilepsy treatment that has been improved through new technologies.
In May 2009, Dr. Pavel Hamet, researcher, professor, Canada Research Chair on Predictive
Genomics and Chief of Gene Medicine Services at the CHUM, received the Masaryk award,
bestowed every year on a Canadian personality of Czech or Slovak origin recognized for the
body of their work.
In November 2009, at the annual meeting of the Canadian Fertility and Andrology Society,
Dr. Jacques Kadoch, obstetrician-gynaecologist, received the Marinko M. Biljan Memorial
Award, a new award given to a specialist in fertility who best demonstrates excellence in his or
her clinical research.
November 2009 marked the launch of the original French version of Parenting and Substance
Misuse: A Multidisciplinary Challenge, a book edited by Marielle Venne, CHUM birthing centre
social worker, and Pauline Morissette, full professor and researcher at UdeM’s social services
school. It was written to respond to the scientific and clinical questions that professionals
involved in health and social services and community networks ask when dealing with parents
who abuse alcohol and drugs, and their children. The book is distributed in Europe in both
French and English.
In April 2010, two eminent CHUM researchers, Dr. Jean-Pierre Pelletier and Johanne MartelPelletier holders of the research chair in osteoarthritis of the Université de Montréal, were the
recipients of the prestigious King Faisal International Prize in the Medicine category. Instituted in
1979, the King Faisal prizes are awarded to exceptional people who have devoted their careers
and lives to humanity and whose scientific work has had important international benefits. Nine
former winners of this prize later went on to receive Nobel Prizes.
In January 2010, Dr. Réal Lapointe, Chief of the Hepatobiliary and Pancreatic Surgery Service,
was appointed member of France’s Académie nationale de chirurgie at its annual meeting in
Paris, in recognition of his career and commitment to the surgical community of the Frenchspeaking world.
Since January 2010, Dr. Jacques LeLorier, Chief of the CRCHUM’s Pharmacoepidemiology
and Pharmacoeconomics Research Unit, and full professor in the departments of Medicine and
Pharmacology of the Université de Montréal’s Faculty of Medicine, has been a member of the
Human Drug Advisory Panel (HDAP) of the Patented Medicine Prices Review Board.
In October 2009, Dr. Vincent Poitout received the Canadian Diabetes Association, Great-West
Life, London Life, and Canada Life Young Scientist Award, which encourages researchers at
the start of their careers, for his research into the regulation mechanisms involved in insulin
secretion in diabetics. The researcher is Associate Scientific Director in Basic Research, and
holder of the Canada Research Chair in Diabetes and Pancreatic Beta-cell Function.
The research team of Dr. Martin Desrosiers, ORL at the CRCHUM, won first prize for the best
abstract in the rhinitis, sinusitis and immunotherapy category of the prestigious annual meeting
of the American Academy of Allergy, Asthma and Immunology. Dr. Roberto Castano,
postdoctoral fellow in Dr. Desrosiers’ laboratory, carried out this innovative work that, for the first
time, linked the genes associated with cancer and inflammatory sinus disease. It was the
second time the research team was recognized this year, having also been awarded a first prize
in basic research from the American Rhinologic Society in the fall.
In 2009, Dr. Bernard Vinet, of the Biochemistry Department, received the Award for Excellence
in Research from the American Association of Clinical Chemistry (AACC) and the Canadian
Society of Clinical Chemistry (CSCC).
Dr. André Robidoux received the prestigious NSABP Lifetime Achievement Award from the
National Surgical Adjuvant Breast and Bowel Project (NSABP), attributed to researchers who
have made an exceptional contribution to the numerous successes of the NSABP in Canada
over the years. He was also appointed as the Principal Liaison Officer for the NSABP in
Canada, which makes him responsible, among other things, for the development of the NSABP
in Canada. The award and the title are recognition of his hard work and a mission accomplished
successfully.
OUR PROFESSIONALS: OUR STRENGTH
Dedicated teams that make us proud, attest to our expertise, contribute to our renown
and constantly improve the quality of care that we provide. Well beyond the concrete it is
built of, the CHUM lives, firmly rooted in our healthcare network, here and now.
Over 17,000 people are directly or indirectly in the service of patients, at Hôtel-Dieu, Hôpital
Notre-Dame, and Hôpital Saint Luc. Here is the breakdown:
- 887 physicians, dentists and pharmacists;
- 9315 employees in the following professions:
- 3909 nurses, nursing assistants, and orderlies,
- 1583 health professionals other than physicians and nurses,
- 338 managers,
- 3485 other employees;
- 1293 researchers, investigators and other members of the research centre;
- 5148 students and trainees;
- 575 volunteers (i.e., 95 fewer than last year because of the closing of the long-term care
centre), who together volunteered for a total of 62,000 hours.
A number of people from different sectors have brought honour to the CHUM by awards they
have received or very important books they have published.
Nicole Laurin, volunteer, received the Governor General's Caring Canadian Award in April
2009, rewarding her contribution to the CHUM community.
Nathalie Vallières, clerkship secretary in Obstetrics-Gynaecology and university director of
clerkships in the CHUM’s Teaching Division, received a diploma from the UdeM, in recognition
of the quality of her work with the clerks of the Faculty of Medicine.
Jean Huot, Technological Resources Director at the CHUM and the MUHC, received, on behalf of
his teams and TELUS Health Solutions, the prize in the Business Solutions–Software category at
the Gala des OCTAS for the Oacis project, in April 2009. The OCTAS contest has been organized
since 1987 by Réseau ACTION TI (formerly the Fédération de l’informatique du Québec).
Marie-Stéphane Rainville, speech therapist, received the first prize to be awarded by the École
d’orthophonie-audiologie in April 2009, for the quality of her supervision of trainees and for her
commitment to clinical teaching.
The CHUM transplantation team won an award for the most significant improvement in
Québec of the rate of organ donors in 2008 compared to 2007. The award was presented on
May 2, 2009, at the first joint forum of Québec Transplant and the Trillium Gift of Life Network.
Dr. Gisèle Hellou, intensive care surgeon, published a philosophical essay entitled Complexité,
systémique et herméneutique–Pour une philosophie pratique des soins intensifs in the summer
of 2009, which discusses the ontological, epistemological and methodological issues inherent in
intensive care.
Dr. Jean Lucien Rouleau, cardiologist and member of the Board of Directors of the CHUM,
received, in September 2009, the Henry Friesen Award for the quality and originality of his
biomedical research work.
The CHUM received two honourable mentions at the annual awards of Québec’s department of
health and social services: one for the Québec campaign, Together, let’s Improve Healthcare
Safety, developed by Anne Lemay, assistant to the Director General, and the other program,
Main dans la main (hand in hand), an innovative partnership between the CHUM birthing centre
and the Director of Youth Protection (DYP) at the Centre jeunesse de Montréal-Institut
universitaire. The program encourages early intervention with children who are born, or about to
be born, into an environment in which the parents, and in particular the mothers, are dealing
with a problem of alcohol or drug dependency.
Danielle Fleury, Director of Nursing, received the Céline-Goulet award from the alumni
association of the Faculty of Nursing Sciences of the Université de Montréal in October. Every
year, the award highlights the exceptional quality of one of its members who is distinguished by
her or his passion for the profession, determination and perseverance in realizing innovative
projects, as well as for the inspiration and sense of pride he or she arouses in fellow alumni and
students in the faculty.
OUR PARTNERS
THE FONDATION DU CHUM: GENEROSITY, THE DRIVING FORCE FOR DEVELOPMENT
The Fondation du CHUM contributes to improved care, excellence in teaching and
advances in research with a single focus: the patient.
For the Fondation du Centre hospitalier de l’Université de Montréal, 2009–2010 was one of
consolidation and, despite the difficult economic context, was rich in achievements. Whether by
organizing benefit activities, soliciting funds from generous donors or by participating in public
awareness days, the Fondation keeps mobilizing to support the CHUM in its mission.
The results obtained encourage us to continue in the same direction that we have been going:
to be much more than a partner to the CHUM, to be a genuine lever for development. The year
just ended is like the preceding ones: full of change, innovation and challenges. The Fondation
is also proud to have increased its net revenues by 55% in five years, the result of the work of
an experienced team, the commitment of business people and the support of faithful donors.
HEALTH CARE AND PROMOTION: $1,709,144
The Fondation du CHUM contributes to the acquisition of state-of-the-art equipment. It also
supports programs to improve the quality of life of patients. The following are a few examples:
 The portable ultrasound for the Obstetric Department, which enables the position of the
foetus to be determined and observed in its mother's uterus: $31,924.
 The fluoroscopy system for the Gastroenterology Department, which produces moving
images of the digestive tract, taken using an X-ray generator and a contrast substance:
$65,079.
 Six Edwards valves used to treat patients suffering from dysfunctional heart valves:
$102,000.
 Acquisition of teaching materials for residents in the Surgery Department: $90,000.
 The “Rex by your side” program, set up in the summer of 2009, which enables 200 patients
from the anticoagulation therapy clinic of the CHUM cardiology outpatient’s centre to carry
out the tests necessary for proper monitoring of their disease at home.
The Fondation participates actively in the CHUM 's awareness-raising days. These days have
the objective of informing the general public. They provide an opportunity for participants to
undergo screening tests and to attend lectures given by professionals from the CHUM.
 Breast cancer, March 2010: $25,000.
 Prostate cancer, September 2009: $25,000.
RESEARCH: $3,584,128
The Fondation gave $1.25 million to the CHUM research centre (CRCHUM) to support its
clinical, basic, evaluative and epidemiological research activities with respect to diabetes,
cancer, Parkinson's disease, Alzheimer's, neurological diseases, etc. The spinoffs are directly
related to care provided to patients and the fight against these diseases. The money donated
also contributes to the recruitment of researchers, reinforcing the renewal of staff and the
retention of young and promising researchers.
The Fondation provides additional amounts, especially in the following areas:




Neuroimmunology and multiple sclerosis: $189,467
ORL: $255,000
Major burn care: $221,136
Cerebrovascular diseases: $149,125
The Fondation also participates in funding research chairs at the Université de Montréal, which
are held by physicians and other healthcare professionals from the CHUM: $600,000.
A few concrete advances
 Muscular dystrophy: major discovery by Dr. Bernard Brais of the gene responsible for a
new form of muscular dystrophy in adults.
 Diabetes: Dr. Vincent Poitout received the Canadian Diabetes Association, Great-West
Life, London Life, and Canada Life Young Scientist Award, for his research into the
regulation mechanisms involved in insulin secretion in diabetics.
TEACHING: $1,130,549
Postdoctorate
Together, the Fondation, the Council of Physicians, Dentists and Pharmacists of the CHUM, the
executive direction of the CHUM and the departments concerned give $1 million per year for a
continuing education and postdoctoral studies grant program. The Fondation’s contribution was
$474,166, which helped fund some 20 postdoctoral grants. The grants are a factor in fostering
high-quality teams at the CHUM. This form of outreach by the hospital centre enables it to
attract some of the best physicians in the world.
Esculape Awards
Every year, the Fondation and the CHUM present some 20 Esculape Awards in recognition of
the work of teaching physicians, who devote a great deal of time to teaching, often on a
volunteer basis, and despite their busy schedules. This year, the Fondation invested $15,000 in
three major awards for clinical teaching:
 The Dr. Sadok Besrour award, accompanied by a $10,000 grant, presented to Dr. MarcJacques Dubois, intensive care specialist.
 Two clinical teaching awards from the Fondation, accompanied by a grants of $2500 each,
presented to doctors André Denault, intensive care specialist, and Suzanne Leclair,
psychiatrist.
In 2009-2010, the Fondation gave $6,423,821 to the CHUM:
 Health care and promotion: 26.6%
 Teaching: 17.6%
 Research: 55.8%
DONATIONS FROM INDIVIDUALS AND FAMILY FOUNDATIONS
$250,000 AND OVER
Fondation J.A. DeSève
Estate of Gaétan Barry
$100,000 TO $249,000
Anonymous (1)
CHUM Council of Physicians, Dentists and Pharmacists
Fondation Antoine-Turmel
Fondation des pompiers du Québec pour les grands brûlés
Fondation Jean-Louis Lévesque
Fondation Lucie et André Chagnon
CHUM Cardiology Service
$50,000 TO $99,999
Mina Drimaropoulos
Estate of Claire Marguerite Irène Marchand
Estate of Réjeanne Dugas Doyon
$25,000 TO $49,999
Anonymous (1)
Paul Guy Desmarais
Fondation des Gouverneurs de l’espoir
Fondation J.B.J. Fortin
Fondation Jean B. Migneault
Leucodystrophies Foundation
Francyne Furtado
Luigi Liberatore
Dr. Robert Provencher
Estate of André Légaré
Estate of Edith Gervais
Estate of Edith Jacobson Low-Beer
Estate of Guy Lemieux
Sylvie Cataford and Simon Blais
$10,000 TO $24,999
Anonymous (1)
Dr. Yvan Boivin
Léonard Bolduc
Dr. Alain Bouthillier
Michel Campeau
Dr. Louise Charron
André Cyr
CHUM Radiology Department
Fondation Docteur Sadok Besrour
Fondation Jacques Francoeur
Fondation Paul A. Fournier
John Patrick Hui
Mireille Kermoyan
Johanne Labadens and Yvan Gagnon
Dr. Guy Leclerc
Carolle Morin
Estate of Juliette Ricard
Estate of Louise Tremblay
$5000 TO $9999
Anonymous (2)
Geneviève Biron
J.R. André Bombardier
State Council of the Knights of Columbus
Me Pierre Dozois
Fondation du Grand Montréal
Fondation Richelieu de Joliette
Fondation Sibylla Hesse
Stéfane Foumy
Alain Massicotte
Michel Richoz
Dr. Paul Perrotte
Ékram Antoine Rabbat
Gilbert Sansoucy
Soeurs de la Présentation de Marie du Québec
Estate of Carmine Fabiello
Estate of Hervé Dansereau
The Birks Family Foundation
The Jack Herbert Charitable Foundation
Arnaud Vial
$2500 TO $4999
Jocelyn Boucher
Daniel Dubeau
Fondation Denise et Robert Gibelleau
Fondation Entre-Voisins
Serge Godin
Gilles Henrichon
Peter W. Hutchins
Catherine Jodoin
Tasia and Photios Kalantzis
Rosemary Maratta
Marcel H. Poirier
Maryse Robillard
Carole St-Charles
Dr. Jean Vincelette
$1000 TO $2499
Anonymous (5)
Rollande C. Archambault
Dr. Alexis Armour
Alain Assouline
Jean-François Babin
Hedwidge Barbeau
Dr Raphaël Bélanger
Dr Charles Bellavance
Laura Benoît
Suzanne Bergeron
Dr. Christina Bernier
Dr. Marc Bilodeau
Hélène Bissonnette
Me Suzanne P. Boivin
Dr. Pierre Bourgouin
Benoit Brière
Madeleine Brunelle Gravel
Dr. Jean-Paul Brutus
Norma Cadelli
Richard Chartier
Ka Tsun Cheung
Dr. Sylvain Chouinard
Dr. Hugo Ciaburro
Dr. Hélène Clairmont
Serge Cloutier
Fleurette Corbeil
Dr. Louis A. Corriveau
Jean-Baptiste Côté
Robert Courval
Gaston Couture
Michael D’Ambra
Hubert D’Amours
Dr. Alain Danino
Dr. Michèle De Guise
Michel Décary
Daniel Desjardins
Rita Desjardins Baril
Paul Desmarais Jr.
Antoinette Distilio
Richard Dorval
Yen Du
Dr. Louise Duranceau
Canadian-Italian Community Foundation of Québec
Fondation Famille A. Pizzagalli
Farha Foundation
Fondation Jean-Louis Tassé
Dr. Alain Gagnon
Annie Gascon
Raymond Gaudet
Louis Giguère
Benoit Goyet
Noëlla Goyet
Pierre Goyet
Daniel Gravel
Paul-André Guillotte
Marguerite Hayes
Monique Héroux
Hanh Huynh Thi
Dr. France Joyal
Dr. André Lacroix
Robert Lafond
Marguerite Lafontaine
Gilles Lafrance
Albert Lallouz
Francine Lalonde
Dr. Maxime Lamarre Cliche
Kathy Lamb et Allan Sklar
Monique Lampron Hamel
Dr. Gérard Landry
Roger Laporte
Antonio Larouche
Dr. Mikhael Laskine
Dr. Yvon Laterreur
Serge LeBlanc
Gisèle Leboeuf
Esther Leclerc
Manon Lefebvre
Jean Lemay
Les Frères Maristes
Daniel Lévesque
Cioc Loan
Gisèle Loiseau
Rose Longpré
Arnold Mahoney
Pierre Michaud
Liboria Mule Triassi
Jacques Nadeau
Nathalie Nahmiash
André Pageau
Dr. Jacques Papillon
Johanne Pelletier
Daniel Perreault
Albert Piché
Frank Pigeon
Réal Plourde
Georges Pouliot
Claire Proulx
Rémy Rabbat
Raymond Richard
Richard & Edith Strauss Canada Foundation
Marie D. Roberge
Jean-Claude Rompré
Dr. André Roussin
Louis-Charles Routhier
André Savard
Michel Savaria
CHUM Hepatobiliairy and Pancreatic Surgery Service
CHUM Dermatology Service
Benjamin Shirazipour
Albertina V. Silva
Soeurs des Saints Noms de Jésus et de Marie du Québec
Dr. Denis Soulières
Angèle St-Jacques Landry
Teresa Storto
Estate of Jean Chabot
Samir Trak
Dr. Cécile Tremblay
Rita Tremblay Samoisette
Gilles Trudel
Dr. Fernand Turgeon
Dr. Luc Valiquette
Maria de Jesus Viana
Jean-Luc Vigneault
Marie-Crystelle Viti
$500 TO $999
Anonymous (19)
Lyne Andoney
André Angélil
Jean-Luc Arseneau
Henri Audet
Dr. Jean-Paul Bahary
Dr. Fadi Basile
Dr. Paul Bayardelle
Lise Beauchamp
Marc Beauchamp
Nicolas Beaudin
Mimi Beaudry Losique
Steve Bellavance
Sylvie Belzile
Claude Benoit
Robert Benoit
Mahmoud Bensalem
Georges Bergeron
Michel Biron
Ivan Bisaillon
Thierry Bissonnette
Suzanne Blanchet
Jean-Claude Bleau
André Boismenu
Denis Boudrias
Aline Boulanger
Denis Bouliane
Gilles Breton
Jean-Pierre Brunet
Tony Castronovo
Gilles Charest
Cindy Chartier
Dr. Jean-Louis Chiasson
Jean-Pierre Coallier
Dr. Isabelle Coiteux
Congrégation des Petites Filles de St-Joseph
Nicole Cossette
Viviane Cossette
Samira Courgi
Annie and Jean-Claude Courtes
Dr François Coutlée
Bernard Couvrette
Carole Crevier
Dr. Pierre Daloze
Diane D’Amato
Dr. Patrick D’Amico
Georgette de Repentigny
Chantal Deleuil
Dr. Benoit Deligne
CHUM General Medicine Department
Dominic DeVeaux
Edward Dodds
Louiselle Dubé
Denis Dumas
Me Jean-André Élie
Epilepsie-Aconcagua
Dr. Jean Ethier
Kamal Farag Rizkalla
Jean-Guy Faucher
Dr. Pasquale Ferraro
Georgette and Willy Feyen
Panayiote Flessas
Fondation Laure-Gaudreault
Robert Forest
Dr. Claude Fortin
Lise Fortin Paquet
Chantal Fournier
Madeleine Gagnon
Denise Gaudet
Dr. Christiane Gaudreau
France Généreux
Marc Généreux
Anne Geoffrion
Christiane Germain
Carmen L. and Magella Girard
Serge Gloutnay
Denis Goyet
Martine Goyet
Pantcho Gueorguiev
Michael Haas
Jacques Hamel
Henriette Hardy
Dr. Patrick Harris
Me Pierre Hébert
Johan Heuvel
Renée Houde
Jo-Anne Hudon
Helena Silvia Inacio
Dr. Emmanuelle Jourdenais
Ludger Joyal
Jean-Paul Labelle
Lise Lafortune
Fernand Lalonde
Michel Lamarche
Dr. François Lamothe
Dr. Judith Latour
Marc Laurendeau
Jean-François Lavigne
Jean Le Menn
Gérard Lebeau
Jean-Pierre Lebel
Vanessa Leblanc
John LeBoutillier
Dr. Louise-Hélène Lebrun
Monique Leclair
Dr. René Lecours
Christine Lefrançois
Dr. Louis Legault
Dr. Claude Lemieux
Jean C. Lemieux
André Lemire
Marc-André Lemire
Lillian Léonard
Me René Leroux
Dr. François Lespérance
François Lessard
Normand Levac
Mark Long
Jean Macleod
Bensalem Mahmoud
Dr. Michèle Mahone
Danielle Marleau and Jean-Pierre Robert
Jacques Martin
Raynald Masse
Thérèse Mauger
Patrice Meloche
Lise Messier Brouillette
Erwin Miller
Dr. Nicholas Newman
Joanne Noël
Jacques Normand
Elias Noujaim
Nawal Noun
Normande Olivier
Jean-Paul Ouellet
Hélène Pagé
Benoit Paré
Dr. Roch Parent
Dr. Jean-Victor Patenaude
Pauline Patulli
Gaston Pelletier
Dr. Denis Phaneuf
Sam Muoi Phung
Pierre Pinard
Giuseppe Pircio
Alain Plante
Dr. Michel Poisson
Dr. Ignacio Prieto
Georges Quentin
Yves Racicot
Dr. Eugenio Rasio
Ginette Raynault
Jean-Jacques Richard
Sylvie Riel
Marielle Riendeau
Hugo Rivard-Royer
Nancy Robertson
Dennis Rodgers
Dr. Michel Roger
Dr. Danielle Rouleau
Carole Roy
Jean-Marc Saint-Hilaire
Jacques E. Samson
CHUM Physiatrics Service
Pierre Shedleur
Janick Simard
Soeurs de Sainte-Anne du Québec
Mark Stamm
Dr. Pierre St-Antoine
Dr. Lise St-Jean
Louise St-Laurent
Werner Stolper
Serge St-Vincent
Estate of Aimée Bédard
Estate of Yvon Desmarchais
Michèle Teasdale Lebeau
Alain Tellier
Jean Thompson Beauchamp
Dr. Emil Toma
André Tranchemontagne
Jean-Paul Trépanier
Jacques Turgeon
Raynald Turgeon
Renaud Vigneault
Denis Villiard
Sylvain Villiard
Dr. Florence Weber
André Zanga
Jack Zwibel
DONATIONS FROM BUSINESSES AND BUSINESS FOUNDATIONS
$500,000 and over
Anonymous (1)
Bell Canada
$250,000 TO $499,999
Astellas Pharma Canada Inc.
Hoffmann-La Roche Ltd.
Medtronic of Canada Ltd.
$100,000 TO $249,999
Abbott Vascular
Johnson & Johnson Medical Products
$50,000 TO $99,999
Anesthésie CHUM HND
National Bank of Canada
EMD Serono Canada Inc.
Fondation de la CCAM
GlaxoSmithKline
Janssen-Ortho Inc.
Mylan Canada
Novartis Pharma Canada Inc.
Pfizer Canada Inc.
Provincial Medical Supplies Limited
Sanofi-Aventis Canada Inc.
Schering-Plough Canada Inc.
Servier Canada Inc.
Smith & Nephew Inc.
$25,000 TO $49,999
Anonymous (1)
Montréal Port Authority
Allergan Inc.
Association des hépatologues de Montréal
Boston Scientific Ltd.
Emergis
Enertrak Inc.
Hydro-Québec
Abbott Laboratories Ltd.
PharmaLogic P.E.T. Services of Montréal
Telus
Wyeth Canada Inc.
$10,000 TO $24,999
Anonymous (2)
AstraZeneca Canada Inc.
Bracco Diagnostics Canada Inc.
Brault & Martineau
Constructions de Mausolées Carrier Inc.
Centre national multisport - Montréal
Collège des médecins du Québec
Draximage
Éditions Art Global
Fédération des Caisses Desjardins du Québec
Fondation Maison de Rêves
Genzyme Canada Inc.
Innovaderm Recherches Inc.
Jarry Bazinet
Loto Québec
Merck Frosst Canada Ltd.
Philips Healthcare
Placements Martin Couture Inc.
Raymond Chabot Grant Thornton
RBC Foundation
SNC-Lavalin Inc.
Société des alcools du Québec
Société des médecins du CHUM
Sorin Group
Stryker
Tyco
$5000 TO $9999
Anonymous (2)
AGFA inc.
Alcon Canada Inc.
Beckman Coulter Canada Inc.
Biotronik Canada Inc.
Boehringer Ingelheim (Canada) Ltd.
BPYA Architectes en consortium
Caisse de dépôt et placement du Québec
Cima +
Baxter Corporation
Courchesne Larose Ltd.
CSL Behring Canada, Inc.
Eli Lilly Canada Inc.
Fédération des médecins spécialistes du Québec
National Bank Financial Group
Génivar Inc.
Heenan Blaikie
Léger et associés, radiologistes
Lenovo Canada
Logibec Groupe Informatique Ltd.
McKesson Canada
Métro Richelieu Inc.
Microserv
Monette Barakett Lawyers S.E.N.C.
Novo Nordisk Canada Inc.
Pomerleau Inc.
Quebecor Inc.
Roche Diagnostics
Saputo Inc.
Société générale de financement du Québec
SPONSORS
Ameublement Machabée
National Bank of Canada
Cima+
CIM-Conseil en Immobilisation & Management
Constructions Alain Marcil Inc.
Fondation Brault & Martineau
Groupe Jean Coutu (PJC) Inc.
Groupe Transbus Inc.
IBM Canada ltée
J. L. Machabée et Fils
Lenovo Canada
Marché Charette Inc.
McKesson Canada
Medtronic du Canada
Microserv
Pharma Canada
Pierre Dagenais & Fils Inc.
Service de fonds académique
SITQ Inc.
SNC-Lavalin Inc.
Our sincere thanks to every individual, business and foundation that has made a donation to the
Fondation du CHUM. We do our best to ensure that the information published is correct. Please
contact us if you have a correction to make. Call 514 890-8077, extension 36192. Thank you for
your support!
EVERY DONATION COUNTS
 Epilepsy research: Dr. Alain Bouthillier, CHUM neurosurgeon, accomplished the double
feat of raising funds and reaching the summit of Mount Aconcagua: $65,695.
 People with breast cancer: $1381 from the Collège d’Anjou.
 Research on leucodystrophies led by Dr. Bernard Brais, neurogeneticist: $33,337 from the
Fondation sur les leucodystrophies. This grant is the second instalment of the total donation
of $150,000 and will enable Dr. Brais, who discovered a new form of leucodystrophy, to
analyze DNA samples that could lead to the discovery of the defective gene.
 Radio-Oncology Department: a painting by the artist Gilles Bossé, from Dr. Robert
Provencher.
 Creation of a database on cerebral vasculitis: $40,000 from the Fondation des Gouverneurs
de l’espoir, as a portion of its pledge of $80,000.
TIMELESS GENEROSITY
 Medical research into breast cancer, microbiology, orthopaedics, gynaecologic-oncology
and endocrinology (type 2 diabetes): $550,000 over the past 12 years from the Fondation
J.B.J. Fortin.
 Care to major burn victims and research into the treatment of serious burns: $1,300,000
over the past 10 years from the Fondation des pompiers du Québec.
 People suffering from amyotrophic lateral sclerosis (ALS): $95,000 over the past three years
by the Fondation Jean B. Migneault.
 Future CHUM: $125,000 over the past five years from the HVAC equipment distributor,
Enertrak.
 Future CHUM: $500,000 from Bell, a portion of a $5 million pledge.
PROFITABLE ACTIVITIES
The Fondation du CHUM organizes prestigious events throughout the year. They are unique
opportunities to raise the maximum of funds to contribute to the well-being and quality of life of
the CHUM’s patients while having a great time.
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Gourmet banquet: $571,844
Golf classic: $1,379,077
Benefit show starring André-Philippe Gagnon: $480,125
Participation of the Fondation at the Montréal International Auto Show (MIAS) Charity
Preview in 2010: $74,152.
santevoyage.com
foundationduchum.com
The Fondation finances itself through the revenues it earns from a variety of complementary
initiatives.
 Clinique Santé-voyage: in 2009, it was the first clinic in Québec to provide vaccinations
against shingles. It also offers a complete range of vaccinations and services for travellers,
in addition to all the basic vaccinations.
 Centre d’évaluation de santé: equipped with technologically advanced equipment, it
provides complete medical checkups as well as aftercare.
All donations to the Fondation are given to the CHUM to provide the best care to patients.
THE RUIS OF THE UNIVERSITÉ DE MONTRÉAL
AN IMPRESSIVE NETWORK OF COOPERATION
As the principal hospital centre for adults affiliated with the Université de Montréal, the
CHUM is central to the Integrated university health network of the Université de Montréal
(RUIS de l’UdeM).
In addition to the CHUM, this impressive network of cooperation brings together other hospital
centres affiliated with UdeM, its four health faculties, as well as a number of other partners. The
members of the network work together to improve access to ultra-specialized care in their
territory and to advance the three components of the university health mission: teaching,
research and the assessment of technologies and intervention methods. Three million
Quebecers are served by the territory of the RUIS de l’UdeM, which covers six regions:
Lanaudière, Laurentides, Laval, Mauricie, the northeast of the Monterégie and the east of the
island of Montréal.
Throughout the 2009–2010 financial year, the RUIS de l’UdeM, through its numerous
committees, moved a number of large-scale projects forward, and the CHUM played a central
role. The Director General serves as the Vice-president of the RUIS de l’UdeM, and from among
the 300 members of the committees, 25 executives, physicians and other professionals at the
hospital contribute to it every day.
Some of the activities of the RUIS de l’UdeM in 2009–2010:
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Case management of acute myocardial infarction;
Deployment of a teleconsultation and tele-information network;
Set up of a centre to coordinate requests for transfers and training;
Home telecare pilot project;
The digitalization of radiological examinations throughout the territory;
The creation of a centre of expertise in chronic pain management;
The promotion of collaborative practice groups;
The diffusion of best practices in geriatrics;
The development of a culture of assessment of technologies and intervention methods
throughout the network.
In addition, in May 2009, the RUIS de l’UdeM held its first forum, entitled Ma force, mes
réseaux, a day that brought together some 200 actors and partners of the network.
More information can be found on the RUIS de l’UdeM's site, at www.ruis.umontreal.ca
THE FACULTY OF MEDICINE OF THE UNIVERSITÉ DE MONTRÉAL: A FRONTLINE
PARTNER
The Faculty of Medicine of the Université de Montréal is constantly interacting with the CHUM
and its research centre. Through its hospital centres and affiliated institutes, the Faculty
accomplishes a significant portion of its mission to improve health by providing healthcare
services to the public.
The Faculty has almost 25,000 graduates in all the health sectors, and trains half the healthcare
professionals in Québec. A major force in the field of research, the Faculty receives more than
60% of the research funds allotted to the Université de Montréal.
The following are partnership projects carried out over the financial year as well as a list of the
major appointments, distinctions and publications that contribute to the CHUM's renown.
PARTNERSHIPS
NutriUM and the CHUM
The staff of the nutrition resource centre at the Université de Montréal, (NutriUM), under the
direction of Nathalie Jobin, director of nutrition and scientific affairs, Myriam Géhami,
nutritionist and clinical instructor, and Dominique Dagenais, coordinator of the clinic and other
members of NutriUM, in partnership with the CHUM's Health Promotion Division, unites its
efforts in its projects.
NutriUM provides coaching services on nutrition and food through its three entities: the
extenso.org website, the university nutrition clinic (CUN) and workshops in the Nutrition
Department (ADN). NutriUM’s mission is based on three principles: teaching, prevention and
research in the field of nutrition.
International Health Unit
The mission of the International Health Unit (IHU) is to contribute to improving the health of
people in developing and transitional countries, as well as bringing the University’s activities to the
international stage through the work of professors and researchers from many departments.
Launched in 1989, the unit has worked with the CHUM since 2000 and, through its many foreign
missions, contributes to the CHUM’s international reputation. The year 2009 was the
20th anniversary of the IHU, which carries out a number of projects in partnership with the CHUM:
 Global Health Research Capacity Strengthening Program/Programme interuniversitaire de
formation en recherché en santé mondiale (GHR-CAPS/PIFRSM);
 Project to build the capacity of nurse-midwives in the N'Galiema clinic, in the health zone of
Gombe, Democratic Republic of Congo;
 Project to build a decentralized health system in Mali;
 Annual public health days, held in March 2010, including a series of workshops on
developing capacities, and on comparing international experiences with that of Québec;
 Project to support the strengthening of the health management capabilities of IHU/UdeM in
the context of the earthquake in Haiti in January 2010.
RENOWN, AWARDS AND APPOINTMENTS
The people cited hereafter have clinical responsibilities at the CHUM and are also present at the
Université de Montréal.
Dr. Jean-Pierre Villeneuve, professor of the UdeM’s Medical Department and Chief of the
CHUM’s Hepatology Service, received a gold medal from the Canadian Association for the
Study of the Liver.
Dr. Andrée Boucher, Assistant Dean in continuing education and professional development,
won the Donald Richards Wilson Award, given jointly by the Royal College of Physicians and
Surgeons of Canada (RCPSC) and Associated Medical Services, in recognition of her work at
the Faculty of Medicine. It is the first time that the award has been given to a member of a
Québec university.
At its convention in November 2009, the Association of radiologists of Québec, awarded the
Albert-Jutras prize to Dr. Guy Breton, physician, radiologist and Executive Vice Rector of the
Université de Montréal. Every year, this prize rewards a radiologist who has led a remarkable
career in a hospital or university environment, or in any other field of activity.
Dr. Moishe Liberman was recruited to head the new Marcel & Rolande Gosselin Chair in
Thoracic Surgical Oncology at the Université de Montréal.
Daniel Lamarre, full professor at the Institute for Research in Immunology and Cancer (IRIC),
was appointed holder of the Novartis/Canadian Liver Foundation Hepatology Research Chair.
Dr. Cécile Tremblay, professor in the Microbiology and Immunology Department, was
appointed holder of the Pfizer chair in clinical and translational research into HIV.
Rafik-Pierre Sékaly, professor at the Université de Montréal, investigator at the CHUM
research centre and Scientific Director of the Vaccine and Gene Therapy Institute of Florida,
published, in collaboration with the researchers of the National Institutes of Health (NIH) and the
MUHC, the results of a study in Nature Medicine. These results could very soon contribute to
broadening the therapeutic arsenal in the fight against HIV.
The largest-ever clinical trial of patients with type 2 diabetes showed that the combination of
treatment to lower blood pressure and intensive glucose (blood sugar) control improved
vascular condition in patients and resulted in an 18% reduction in risk of death from any cause.
The principal investigator in the study, Dr. Pavel Hamet, professor at the Faculty of Medicine
and Chief of Gene Medicine services at the CHUM, published his results in the journal Diabetes
Care and presented them at the Diabetes Federation’s 2009 Congress.
In a report presented on Découverte, broadcasted on Radio-Canada, Dr. Paul Lespérance,
professor in the Psychiatry Department and Director of the psychiatric neuromodulation unit of
the CHUM, observed the effects of implanting a neurostimulator in a 53-year-old patient
suffering from refractory depression, for whom drugs appeared to be ineffective. A minidisc,
installed under the skin by Dr. Alain Bouthillier, neurosurgeon at the CHUM, sends weak
electrical currents towards an electrode wrapped around the vagus nerve (beside the carotid) to
stimulate certain regions that can reduce or heal the symptoms of depression.
OUR FINANCIAL STATEMENTS
GOOD GOVERNANCE
The team of the CHUM’s Financial Resources and Economic Partnerships Division is one
of the largest in the health and social services network, a status that comes with certain
responsibilities. In fact, university hospital centres have a duty to provide leadership in
all areas, including administration.
For the past seven years, the CHUM has conformed to the budget targets set by Montreal’s
Health and Social Services Agency. “When you are responsible for managing nearly 750 million
dollars in expenses, which represents the combined budgets of the hospital centre and the
research centre, you have a duty, as a team, to ensure good governance,” says Jocelyn
Boucher, Assistant Director General—Administration, Financial Resources and Economic
Partnerships. “To accomplish this, productivity is tracked very closely. We adopted an internal
control mechanism to help us reach stated objectives, and we produce very specific,
transparent information on a timely basis. These decision-making tools are very much
appreciated by managers.”
A YEAR OF RATIONALIZATION
Throughout the financial year 2009–2010, the CHUM undertook a review of the services it
offers, which it had begun in the spring of 2008, following the recommendation of the Council of
Physicians, Dentists and Pharmacists, and taking into account an eventual transition toward two
institutions. The process consisted of applying rationalization measures to all of our activities,
which are mainly of a clinical nature, reviewing our priorities and concentrating on our missions.
TO THE DIRECTORS OF CENTRE HOSPITALIER DE L’UNIVERSITÉ DE MONTRÉAL
The enclosed financial information is drawn from the Annual Financial Report of the Centre
hospitalier de l’Université de Montréal as at March 31, 2010, for which we have issued on this
date our auditor’s report, hereinafter.
In order to better understand the financial position of the Institution and the results of its
operations, this financial information should be read in conjunction with the audited Annual
Financial Statement contained in the Annual Financial Report.
Montreal,
June 10, 2010
AUDITOR’S REPORT
To the Members of the Board of Directors of the Centre hospitalier de l’Université de Montréal
We have audited the financial statements, complementary information, data and appendices
listed in the table of contents of the Annual Financial Report of the Centre hospitalier de
l’Université de Montréal (the Institution) for the year ended March 31, 2010, which has been
presented in the format prescribed by the Ministère de la Santé et des Services sociaux du
Québec, in accordance with Section 295 of the Act Respecting Health Services and Social
Services. This Annual Financial Report is the responsibility of the Institution’s management. Our
responsibility is to express an opinion on this Annual Financial Report and the items described
in Appendix 1 of the Règlement sur la gestion financière des établissements et des conseils
régionaux based on our audit.
We conducted our audit in accordance with Canadian generally accepted auditing standards.
Those standards require that we plan and perform an audit to obtain reasonable assurance as
to whether the Annual Financial Report and the items described in Appendix 1 of the Règlement
sur la gestion financière des établissements et des conseils régionaux are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting the amounts
and disclosures in the Annual Financial Report. An audit also includes assessing the accounting
principles used and significant estimates made by management, as well as evaluating the
overall Annual Financial Report presentation.
In our opinion,
– The Institution has complied with the abovementioned Act and the relevant regulations to the
extent they apply to its revenues or expenses, or its volume of services or activities;
– The Institution has complied with the explanations and definitions relating to the preparation
of the Annual Financial Report;
– The Institution’s accounting practices are consistent with the standards and definitions of the
Manuel de gestion financière published by the Ministère de la Santé et des Services sociaux
du Québec, with the exception of Note 1 in the Appendix of the Auditor’s Report;
– The units of measure used by the Institution are consistent with the definitions in the Manuel
de gestion financière published by the Ministère de la Santé et des Services sociaux du
Québec;
– The methods for recording and controlling quantitative data followed by the Institution on
which we rely in designing our audit procedures for the Annual Financial Report are valid;
– The Institution’s internal control procedures relating to financial data on which we rely in
designing our audit procedures for the Annual Financial Report are valid;
– The Institution has complied with the administrative instructions issued by the Ministère de la
Santé et des Services sociaux du Québec and by the Agence de la santé et des services
sociaux de Montréal, with the exception of Note 2 in the Appendix of the Auditor’s Report;
– With the exception of the notes included in the Appendix of the Auditor’s Report, the Annual
Financial Report presents fairly, in all material respects, the financial position of the Institution
as at March 31, 2010 and its revenues and expenses, the changes in its financial position
and financial and quantitative data of its activity centres for the year then ended, in
accordance with the accounting principles described in Note 2.
The Annual Financial Report, which has not been, and is not intended to be, prepared in
accordance with Canadian generally accepted accounting principles, is solely for the information
and use of the Institution’s directors, and the Ministère de la Santé et des Services sociaux du
Québec and the Agence de la santé et des services sociaux for complying with Section 295 of
the Act Respecting Health Services and Social Services. This Annual Financial Report is not
intended to be and should not be used by anyone other than the specified users or for any other
purpose.
Montreal
June 10, 2010
Comments
1. The Institution has recorded a receivable of $350,238 from the Agence de la santé et des
services sociaux de Montréal (the Agency) for specific projects, including for skin culture.
This amount has not been authorized to date by the Agency. However, there are ongoing
discussions with the MSSS and the Agency to have this amount recognized and paid.
2. The amounts of $2,527,219 and $1,587,277 were paid respectively for compensation
regarding administrative tasks carried out by physicians and regarding certain measures
applicable to clinical staff. These amounts were recorded in “Other direct charges—principal
activities” and in “Extraordinary charges.”
1
Chartered accountant auditor permit no. 9266
FUNDING OF THE RESEARCH CENTRE
For the year ended March 31, 2010
2009-2010
2008-2009
2007-2008
Competitive funding
$40.8 M
$40.8 M
$38.2 M
Industrial funding
$12.5 M
$12.4 M
$11.7 M
Other
$12.0 M
$11.1 M
$14.6 M
Total
$65.3 M
$64.3 M
$64.5 M
Source: Division of Financial Resources and Economic Partnerships
PRINCIPAL ACQUISITIONS IN 2009-2010
A device for neuromuscular assessment and isokinetic
Strengthening
$100,592
A mobile fluoroscopy device
$293,074
Modernization of the MUSE cardiac system
$335,000
Acquisition of 19 volumetric ventilators
$828,500
Digestive motility system
$217,870
Holmium surgical laser
$226,609
CyberKnifeTM
$4,040,653
Source: Division of Financial Resources and Economic Partnerships
OTHER STATISTICS
For the year ended March 31, 2010
2009-2010
2008-2009
114,197
449,806
12,150
18,339
850
2,291
395
57
152
60,043
41,765
65,371
355
1,261
389,495
10,080,573
3,538,895
2,845,349
110,699
434,288
12,167
18,595
833
2,308
388
57
147
59,110
39,165
65,896
403
1,356
405,865
9,805,180
3,672,525
2,947,987
86.7%
96.8%
85.0%
98.7%
CLINICAL ACTIVITIES
Emergency (visits)
Outpatient clinics (visits)
Surgical procedures with hospitalization
Day surgeries
Cardiac procedures
Childbirths
Neuroradiology (patients)
Organ donors
Organ transplants
Haematology-oncology (visits)
Endoscopy (examinations)
Hemodialysis (treatment)
Prostheses (hip and knee) (including revisions)
Lithotripsy (patients)
Medical imaging (examinations)
Laboratory analyses
Kilos of linen processed
Meals served and sold
OCCUPANCY RATE ACCORDING TO BED SET-UP
Hospital
Residential and long-term care
Source: Information Management and Quality Performance Division
SUMMARY OF TEACHING ACTIVITIES
2009-2010
2008-2009
NUMBER OF PRACTICUMS*
University
Medicine—Clerkship
Medicine—Residency
1,679
5,070
1,661
4,802
Total
6,749
6,463
292
672
758
60
610
292
432
318
687
712**
48
567
305
341
Sub-total
3116
2978
CEGEP and High School
Nursing
Health professionals
(other than physicians and nurses)
1586
446
1620
208
Sub-total
2032
1828
Total
5148
4806
NUMBER OF STUDENTS
University
Preclinical Medicine
Medicine—Clerkship
Medicine—Residency
Medicine—Continuing Education and Observation
Research
Nursing
Health professionals
(other than physicians and nurses)
* For the purpose of this report, a practicum lasts four weeks.
** Adjustment due to an error in the information system, which was recently discovered (95
students/physicians/professionals counted twice) because of the integration of “health professional” trainees in the
past year.
Source: Teaching Division
BOARD OF DIRECTORS
Me PATRICK A. MOLINARI
Chair of the Board
Designated by the Health and Social Services Agency of Montréal
FRANCINE GIRARD
Deputy Chair of the Board
Designated by the Université de Montréal
CHRISTIAN PAIRE
Secretary of the Board
CHUM Director General
CLAUDE BENJAMIN
Chair of the disciplinary measures evaluation committee
Co-opted Board Member
MARIE-CLAIRE DAIGNEAULT
Chair of the quality assurance committee (overseeing services provided to patients)
Co-opted Board Member
SERGE AUBRY
Chair of the budget and finance committee
Co-opted Board Member
MICHÈLE BERNARD
Designated by the users’ committee
SOPHIE LÉPINE
Designated by and from among the members of the Multidisciplinary Council
MAURICE CHARLEBOIS
Designated by the Health and Social Services Agency of Montréal
PHILIPPE CÔTÉ
Elected by the general public
LOUISA DEFOY
Designated by the users’ committee
HÉLÈNE DESMARAIS
Designated by the Québec government
GILLES DULUDE
Designated by the Fondation du CHUM
KARINE FARRELL
Elected by the general public
JOSEPH HUBERT
Designated by the Université de Montréal
Dr. EDGARD NASSIF
Designated by and from among the members of the Council of Physicians, Dentists and
Pharmacists
Dr. JEANNE-MARIE GIARD
Designated by and from among the medical residents practicing at the CHUM
YVON PROVOST
Designated by and from among the staff members
ÉKRAM ANTOINE RABBAT
Designated by the Fondation du CHUM
Dr. JEAN LUCIEN ROULEAU
Designated by the Université de Montréal
FRANCE ROY
Designated by and from among the members of the Council of Nurses
DIRECTORS
CHRISTIAN PAIRE
Director General
SERGE LEBLANC
Associate Director General
NICOLE BEAULIEU
Director of Communications
Dr. Charles Bellavance
Director of Professional Services
JOCELYN BOUCHER
Assistant Director General–Administration, Financial Resources and Economic Partnerships
FRANCINE DAVID
Interim Director of Information Management and Quality Performance
Dr. MICHÈLE DE GUISE
Director of Health Promotion
Dr. MARIE-JOSÉE DUPUIS
Director of Teaching
DANIELLE FLEURY
Director of Nursing
MYRIAM GIGUÈRE
Director of Hospital Services
JEAN HUOT
Director of Technological Resources
Dr. ANDRÉ LACROIX
Assistant Director General–Medical and Academic Affairs
ESTHER LECLERC
Assistant Director General–Clinical Affairs
FRANK PIGEON
Director of Technical Services
Dr. LUIGI LEPANTO
Director of Assessment of Healthcare Technologies and Intervention Methods
ANGÈLE ST-JACQUES
Director of Patient-Centred Groups
JACQUES TURGEON
Director of Research
RENAUD VIGNEAULT
Director of Human Resources
SYLVAIN VILLIARD
Assistant Director General–CHUM centre-ville
COMMITTEES
Me DELPHINE ROIGT
Chair
RESEARCH ETHICS COMMITTEE
BRIGITTE ST-PIERRE
Chair
RISK MANAGEMENT COMMITTEE
FRANCINE DAVID
Chair
USERS COMMITTEE
LOUISA DEFOY
Chair
LOCAL SERVICE QUALITY AND COMPLAINTS COMMISSIONER
DIANE-ISABELLE POIRIER
COUNCIL OF NURSES
JOUAMANA FAWAZ
Chair
COUNCIL OF PHYSICIANS, DENTISTS AND PHARMACISTS
Dr. PAUL PERROTTE
Chair
MULTIDISCIPLINARY COUNCIL
STÉPHANIE ÉMOND
Chair
THE FONDATION DU CHUM
GILLES DULUDE
Chair of the Board of Directors
ÉKRAM ANTOINE RABBAT
President and Chief Executive Officer
CODE OF ETHICS GOVERNING THE BOARD OF DIRECTORS
In accordance with point 43 of the code of ethics governing the Board of Directors, the annual
report attests to the fact that:
 none of the board members have had a complaint filed against them;
 none of the board members have been involved in a case of professional misconduct;
 none of the board members have had a penalty imposed on them;
 none of the board members have been suspended or relieved of their duties.
The entire code is available, in French only, at www.chumontreal.com, Notre équipe, Conseil
d’administration.
PRODUCTION
Irène Marcheterre
RESEARCH AND EDITING
Johanne Piché
SPECIAL CONTRIBUTION: EDITING
Camille Larose, Éloi Courchesne
COORDINATION
Ève Blais
REVIEW COMMITTEE
Irène Marcheterre, Ève Blais, Chantal Harvey, Camille Larose, France Lafrenière
TRANSLATION
Janis Warne
PHOTO SHOOT COORDINATON
Luc Lauzière
SPECIAL CONTRIBUTION: PHOTOGRAPHY
Louise Dugas
GRAPHIC DESIGN
André Bachand, Danielle Mongrain
HÔTEL-DIEU
3840 Saint-Urbain Street,
Montréal, Québec H2W 1T8
HÔPITAL NOTRE-DAME
1560 Sherbrooke Street East,
Montréal, Québec H2L 4M1
HÔPITAL SAINT-LUC
1058 Saint-Denis Street,
Montréal, Québec H2X 3J4
514 890-8000
The CHUM website
www.chumontreal.com
The Fondation du CHUM website
www.fondationduchum.com